Lesson 1Before-Test Check for Warnings and Risk Levels (BP Limits, Unstable Chest Pain, Recent Heart Attack)This lesson reviews before-test checks to find warnings and level risks, including blood pressure limits, unstable chest pain, recent heart attack, and other issues that may need delaying or changing the test.
Reviewing medical history and diagnosesFinding absolute warningsRelative warnings and cautionsBlood pressure and heart rhythm checksAssigning risk level and planning testLesson 2After-Exercise Recovery Watching: ECG and Vitals Timeline, Observation Time, Discharge RulesThis lesson covers planned after-exercise watching, including ECG and vital signs timeline, rules for longer recovery, and safe discharge choices after treadmill testing, stressing spotting delayed heart issues or irregular beats.
Right after exercise ECG recording orderBlood pressure and heart rate recovery planWatching for delayed heart issues or irregular beatsObservation time and recording pointsClinical rules for safe going homeLesson 3Technician Steps for Bad Events: Heart Changes, Lasting Irregular Beats, Low Pressure, FaintingThis lesson covers technician duties when bad events happen, including spotting and quick handling of heart ECG changes, lasting irregular beats, low pressure, fainting, and working with emergency teams.
Quick steps for heart ST changesHandling lasting fast irregular beatsResponse to low pressure and near-faintingDealing with fainting and patient falls safelyStarting emergency and code plansLesson 4ECG Watching During Stages: ST Changes, Irregular Beats, and Rate Responses to WatchThis lesson details ECG changes to watch in each treadmill stage, including ST line shifts, T-wave changes, irregular beats, and heart rate responses, stressing early spotting of heart lack of blood and unusual rate or recovery patterns.
Expected heart rate and rhythm responsesST line drop and rise patternsT-wave and U-wave exercise changesSpotting ventricle and atrium irregular beatsRate weakness and recovery patternsLesson 5Blood Pressure Watching Schedule and Method During Exercise PartsThis lesson explains right blood pressure measuring during exercise, including cuff choice, timing in each stage, method to cut movement error, and understanding normal and unusual pressure responses.
Choosing cuff size and arm positionTiming BP readings in each stageListening method on a moving patientNormal rising and falling pressure responsesSpotting low and high pressure trendsLesson 6Electrode Setup for Continuous Watching and Best Wire Choice for Heart Lack of Blood SpottingThis lesson explains right skin prep, electrode placement, and wire choice to best spot heart lack of blood during treadmill testing, stressing cutting errors and ensuring steady, good-quality ECG watching through all stages.
Skin prep and error reduction stepsStandard arm, leg, and chest electrode spotsChanged chest wire placement for stress testingChoosing watching wires for ST line analysisCable handling and movement error controlLesson 7Informed Agreement and Patient Briefing: Test Goals, Stopping Rules, and Expected FeelingsThis lesson outlines getting informed agreement and briefing patients on test purpose, steps, expected feelings, and stopping rules, ensuring they understand, cooperate, and worry less before treadmill stress testing.
Explaining test goals and medical reasonsDescribing treadmill steps one by oneDiscussing expected feelings during exerciseReviewing absolute and relative stop rulesAnswering patient questions and worriesLesson 8Rules for Quick Escalation: Absolute and Relative Reasons to Stop the TestThis lesson defines absolute and relative reasons to stop a treadmill test, including ECG changes, blood pressure issues, severe symptoms, and equipment problems, and explains when to escalate to urgent medical check.
Absolute reasons to stop right awayRelative reasons needing judgementECG-based triggers to endBlood pressure and symptom limitsAfter-ending medical escalation stepsLesson 9Standard Treadmill Plans (e.g., Bruce) and Stage Timing/AmountsThis lesson reviews common treadmill plans like Bruce and modified Bruce, including stage times, speed and slope changes, and choosing based on patient fitness, age, and medical reason for the stress test.
Bruce plan stages, speed, and slopeModified Bruce and low-level plansRamp and personal treadmill plansChoosing a plan for patient stateAdjusting or ending stages safelyLesson 10Symptom and Effort Watching: Breathing Trouble, Chest Pain, Dizziness, Tiredness—Using Borg/RPE ScaleThis lesson explains steady watching of symptoms and effort using planned questions and the Borg or RPE scale, linking patient-reported effort with ECG and pressure responses in each treadmill stage.
Using Borg and RPE scales rightChecking chest pain and heart pain symptomsWatching breathing trouble, dizziness, and tirednessLinking symptoms with ECG changesTalking with patients during stagesLesson 11Baseline Measures: Resting ECG, Blood Pressure, Symptom List, Ability EstimateThis lesson describes baseline checks before exercise, including resting ECG, blood pressure, symptom review, medicines, and ability estimation, to spot existing issues and guide plan choice and test safety.
Resting 12-lead ECG recording and reviewBaseline blood pressure and heart rate recordingSymptom history and current issue listMedicine review and timing before testingEstimating ability and effort unitsLesson 12Recording Items for Stress Test: Baseline Findings, Stage-by-Stage Data, Reasons for EndingThis lesson defines key recording for treadmill tests, including baseline data, stage-by-stage ECG, vitals, symptoms, workload, and ending reasons, ensuring clear talk and legal completeness.
Recording baseline ECG and vital signsStage-by-stage speed, slope, and effort unit logSymptom, irregular beat, and BP event notesDocumenting ending reason and timeSumming key findings for the report
