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Module 3: Cardiology – Report 8: Operative Report, Stress Test Report Answers Submit Answers LOCATION: Outpatient, Hospital CPT M1 M2 M3 M4 Units ICD PATIENT: Kent Smith MODULES AND REPORTS SURGEON: Marvin Elhart, M.D. INDICATION: Dyspnea on exertion. MEDICATIONS: Prevacid, aspirin, and Zoloft. PROCEDURE PERFORMED: Stress test HISTORY INDICATIONS: This is a 47-year-old man who complained ARCHIVE of some shortness of breath after working in his yard. He presents today for a stress test for evaluation of symptoms. The patient underwent the stress test according to the Bruce protocol. HEMODYNAMIC RESPONSE: Heart rate at rest is 99 and at peak is 167. Blood pressure is 130/80 and at peak is 164/60. During stress, the patient had no chest pain. The STAFF HCPCS M1 M2 M3 M4 Units test was stopped because of fatigue. At baseline, the DIRECTORY patient had normal sinus rhythm and no ST segment changes. At peak exercise, there was up-sloping ST segment changes but no ST depression noted. The patient exercised for a total of 7 minutes on the Bruce protocol achieving 10 METs. IMPRESSION & CONCLUSION: 1. Moderate exercise tolerance. HELP

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