Age	Gender
	Male Female

Indications	Cardiac Risk Factors
Chest Pain Coronary Artery Disease Abnormal ECG Arrhythmia Shortness of Breath Dizziness/Syncope Other:	Advanced Age (M>55, F>65) Hyperlipidemia Obesity (BMI>30) Smoking Hypertension Diabetes Family History of CAD

Notes:

Procedure

LEXI Stress Nuclear
Nuclear Treadmill Exercise
ETT: Exercise Treadmill Tolerance

Exercise

Baseline

Peak

Results

Duration (mm:ss)	:
METS
Capacity Excellent (>12 METS) Good (>10 METS) Fair (7-10 METS) Poor (<7 METS)

Heart Rate
Blood Pressure	/

Heart Rate
Blood Pressure	/

Max Age Predicted HR

% achieved

%
Double Product

Stress Rhythm

Stress Arrhythmias

Stress ECG Lead Changes

Duke Treadmill Calculation

NSR
Sinus brady
A-fib
Sinus tach
Paced

RBBB
LBBB

No Arrhythmias
Arrhythmias Noted

PACs
PVCs
Couplets
Triplets
Bigeminy
Trigeminy
SVT
VT
A-Fib
A-Flutter

No ST Changes
ST changes

	Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping

ST Segment Deviation (mm)
Angina	None Non-limiting Exercise limiting
Duke treadmill score

Recovery Rhythm

Recovery Times

Recovery HR

No ST Changes
ST-T changes

	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping

Symptoms Resolved
ECG changes resolved
Motion abnormalities resolved
HR returned to baseline
BP returned to baseline

Normal at 1 minute (>12 bpm)
Abnormal at 1 minute (<12 bpm)

Symptoms	Primary Reason for Termination
none chest discomfort fatigue dyspnea dizziness/near-syncope palpitations leg cramps mild angina moderate angina severe angina abdominal pain headache atypical chest pain nausea	Reached maximal exercise Target HR achieved ECG changes Dyspnea Hypertension Leg pain Chest pain Fatigue Hypotension Arrhythmia End of protocol

Notes:

Baseline Rhythm

Baseline Arrhythmias

Baseline ST Segments

Normal Sinus Rhythm
Sinus brady
Sinus tachycardia
Atrial Fibrillation

Paced
Low voltage QRS
IV conduction delay
LBBB
RBBB
First deg AVB
LVH

No Arrhythmias
Arrhythmias Noted

PACs
PVCs
Couplets
Triplets
Bigeminy
Trigeminy

No ST changes
Non-specific ST-T changes

Abnormal ST Segments

	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization
	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization
	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization
	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization
	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization
	None Normal Poor RWP Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping Q waves LVH Low voltage ST elevation T wave inversion Early repolarization

Notes:

Baseline

Stress Rhythm

Stress Arrhythmias

Stress ECG Lead Changes

Heart Rate
Blood Pressure	/

NSR
Sinus brady
A-fib
Sinus tach
Paced

RBBB
LBBB

No Arrhythmias
Arrhythmias Noted

PACs
PVCs
Couplets
Triplets
Bigeminy
Trigeminy
SVT
VT
A-Fib
A-Flutter

No ST Changes
ST changes

	Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping
	None Min ST depression (<0.5mm) Mild ST depression(0.5-1.0mm) Sig ST depression(>1.0mm) Marked ST depression(>2.0mm) Downsloping Horizontal Upsloping

Symptoms	Primary Reason for Termination
none chest discomfort fatigue dyspnea dizziness/near-syncope palpitations leg cramps mild angina moderate angina severe angina abdominal pain headache atypical chest pain nausea	End of protocol ECG changes Dyspnea Hypertension Leg pain Chest pain Fatigue Hypotension Arrhythmia

Summed Stress Score

Perfusion

Stress:

Rest:

Difference:

Normal perfusion
Near normal perfusion
Abnormal perfusion
Breast attenuation, a variant of normal
Apical thinning, a variant of normal
Diaphragmatic attenuation, a variant of normal

Defect	Area	Location	Condition
Size small moderate large Severity mild moderate severe Defect reversible partially reversible fixed	basal mid basal/mid mid/distal distal entire	anterior wall anterolateral wall inferolateral wall inferior septum apex anterior septum inferior septum	ischemia. infarct. infarct with no significant peri-infarct ischemia. infarct with significant peri-infarct ischemia. breast attenuation, a variant of normal. probable diaphragmatic attenuation. probable soft tissue attenuation.	--DONT FORGET TO CLICK!

EF and Volume

Wall Motion

Ejection Fraction (%):
Post stress test end DIASTOLIC volume (mL):
Post stress test end SYSTOLIC volume (mL):
Post stress test STROKE volume (mL):
TID:	no TID Abnormal

Normal
Abnormal

Area	Location	Kinesis
Basal Mid Apical	Anterior Anterolateral Inferolateral Inferior Septal	Hypokinesis Akinesis Dyskinesis

General Summary	Stress Summary
Normal myocardial stress perfusion study. Normal perfusion study, no evidence of myocardial infarction or ischemia. No wall motion abnormalities. Normal left ventricular function (%). No ECG evidence of ischemia. Abnormal myocardial perfusion study consistent with ischemia. Abnormal myocardial perfusion study consistent with ischemia and infarction. Abnormal myocardial perfusion study consistent with infarction. Inferior wall defect consitent with diaphragmatic attenuation. Anterior wall defect consitent with breast attenuation. Left ventricular function is abnormal (%). Stress ECG is equivocal for ischemia. Stress ECG is consistent with ischemia. Myocardial perfusion interpretation is limited by significant bowel activity. Significant extra-cardiac radiotracer uptake noted Significant soft tissue attenuation due to body habitus. No prior study for comparison. No significant change since prior study.	Exercise Tolerance Summary Good Fair Poor Induced HR and/or exercise response Adequate Borderline Inadequate HR response to exercise Normal Abnormal Abnormal(probably drug effect) BP response to exercise Normal Hypotensive(suggests ischemia) Hypertensive Symptom Summary Sx not suggestive of ischemia Sx equivocal for ischemia Sx suggestive of ischemia

General Summary

Stress Summary

Normal myocardial stress perfusion study.
Normal perfusion study, no evidence of myocardial infarction or ischemia.
No wall motion abnormalities.
Normal left ventricular function (%).
No ECG evidence of ischemia.

Abnormal myocardial perfusion study consistent with ischemia.
Abnormal myocardial perfusion study consistent with ischemia and infarction.
Abnormal myocardial perfusion study consistent with infarction.
Inferior wall defect consitent with diaphragmatic attenuation.
Anterior wall defect consitent with breast attenuation.
Left ventricular function is abnormal (%).

Stress ECG is equivocal for ischemia.
Stress ECG is consistent with ischemia.

Myocardial perfusion interpretation is limited by significant bowel activity.
Significant extra-cardiac radiotracer uptake noted
Significant soft tissue attenuation due to body habitus.

No prior study for comparison.
No significant change since prior study.

Exercise Tolerance Summary

Good Fair Poor

Induced HR and/or exercise response

Adequate
Borderline
Inadequate

HR response to exercise

Normal
Abnormal
Abnormal(probably drug effect)

BP response to exercise

Normal
Hypotensive(suggests ischemia)
Hypertensive

Symptom Summary

Sx not suggestive of ischemia
Sx equivocal for ischemia
Sx suggestive of ischemia

Notes: