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    The inauguration of the NKTI-Baxter Peritoneal Dialysis (PD) Center of Excellence was held last February 23, 2021 at the NKTI. The center is a two-storey warehouse for PD dialysis solutions and accessories. Facilities include areas for patient training and clinical management as well as a queuing system to make the process of claiming these lifesaving fluids more efficient for PD patients.
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Stress Test/Treadmill Exercise Test
(Exercise ECG; ECG - exercise treadmill; EKG - exercise treadmill; Stress ECG; Exercise electrocardiography; Stress test - exercise treadmill)
 
Description:
Treadmill Test is a diagnostic EKG procedure designed to test the heart during physical exercise. The treadmill test more accurately diagnoses the presence or severity of blockages in arteries leading to the heart. Not only is it a screening procedure, it can gauge the effectiveness of treatment programs. It is performed to determine if your heart can pump blood safely and effectively throughout your body during the stress of exercise. It is performed under a physician’s supervision.
 
Preparation/What to Expect:

  • Patient is instructed to not eat, drink anything containing caffeine or alcohol (for at least two hours) or smoke before taking the test. Continue all medications unless instructed otherwise.

  • Patients are encouraged to wear comfortable clothing and shoes that will permit walking. A towel and extra clothing will be used after exercise.

  • A nurse or exercise technologist will place electrodes on the chest to record’s heart activity. For the clearest test results, the skin needs to be secured or clipped.

  • To monitor patient’s blood pressure, a cuff will be placed on the arm. This will be inflated every few minutes, producing a squeezing sensation that may feel tight.

  • Baseline measurements of heart rate and blood pressure will be taken before exercise starts.

  • After a resting electrocardiogram is recorded, patient will walk on the treadmill. The speed and elevation of the treadmill will be increased at periodic intervals, in order to raise your heart rate safely. While patient is walking, the doctor together with the nurse technologist will monitor and record the heart rate, electrocardiogram (EKG), and blood pressure (BP).

  • The test will be stopped when the pre-determined heart rate is reached, or at patient’s request (cannot walk any farther or feels chest pain/shortness of breath) or with exaggerated rise in blood pressure develops with activity.

  • Upon termination of exercise, patient will be requested to sit and relax. Recovery period will take about 5 to 10 minutes.

  A medication called nitroglycerin is sometimes given during a stress test if chest pain suddenly occurs. Depending on the results of the exercise EKG, additional tests or procedures may be scheduled to gather further diagnostic information.