2. © ARAM Health Management of America Welcome from ARAM

3. © ARAM Health Management of America STRESS TEST

4. © ARAM Health Management of America STRESS TEST  OUR HEART BEATS AT A RATE OF ABOUT 72 BEATS PER MINUTE

5. © ARAM Health Management of America WHEN WE EXERCISE OUR HEART NEEDS TO BEAT FASTER TO MEET THE EXTRA NEED FOR ENERGY FOR OUR BODY

6. © ARAM Health Management of America WHEN THE HEART BEATS FASTER IT NEEDS MORE BLOOD SUPPLY TO MAINTAIN ITS NUTRITION

7. © ARAM Health Management of America WHEN THE FAST BEATING HEART CANNOT GET THE EXTRA BLOOD THAT IT NEEDS FOR NUTRITION IT SHOWS SOME MANIFESTATIONS THAT CAN BE PICKED UP AN ELECTROCARDIOGRAM(EKG) OR BY CLINICAL TESTING

8. © ARAM Health Management of America DURING A STRESS TEST A PERSON IS ASKED TO DO GRADUALLY INCREASING AMOUNT OF PHYSICAL ACTIVITY (RUNNING ON A TREAD MILL) AND CHANGES IN CARDIOGRAM ARE STUDIED ALONG WITH HIS/HER PULSE, BLOOD PRESSURE AND SOME OTHER PARAMETERS

9. © ARAM Health Management of America SOME CHANGES IN ELECTROCARDIOGRAM (EKG) AND CLINICAL EXAM CAN INDICATE IF THE HEART IS NOT GETTING ENOUGH BLOOD SUPPLY

10. © ARAM Health Management of America CHEST PAIN, DIZZINESS, EARLY SHORTNESS OF BREATH IN THE EXERCISE PROTOCOL MAY ALSO INDICATE POOR BLOOD SUPPLY TO THE HEART

11. © ARAM Health Management of America SOMETIMES THE CHANGES MAY OCCUR DURING THE 10 MINUTES FOLLOWING THE EXERCISE SO THE PATIENT IS OBSERVED FOR ANOTHER 20 MINUTES OR SO AFTER THE EXERCISE

12. © ARAM Health Management of America STRESS TEST IS NOT VERY ACCURATE IN THOSE WHO ARE OVER WEIGHT (OBESE) AND FEMALE PATIENTS

13. © ARAM Health Management of America IF YOU ARE ASKED TO GO FOR A STRESS TEST AVOID WEARING TIGHT CLOTHING AND UNCOMFORTABLE SHOES

14. © ARAM Health Management of America DURING THE TEST IF YOU SUFFER FROM CHEST PAIN, DIZZINESS OR EXPERIENCE SHORTNESS OF BREATH OR NAUSEA INFORM THE DOCTOR/TECHNICIAN IMMEDIATELY WHO MAY STOP THE TEST AND EVALUATE YOU AND YOUR RESULTS TO DETERMINE IF THE TEST CAN BE CONTINUED

15. © ARAM Health Management of America Thanks ARAM