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A physician may recommend cardiac imaging to support a diagnosis of a heart condition. Medical specialty professional organizations discourage the use of routine cardiac imaging during pre-operative assessment for patients about to undergo low or mid-risk non-cardiac surgery because the procedure carries risks and is unlikely to result in the change of a patient's management. [1]
With a maximal stress test the level of exercise is increased until the person's heart rate will not increase any higher, despite increased exercise. A fairly accurate estimate of the target heart rate, based on extensive clinical research, can be estimated by the formula 220 beats per minute minus patient's age.
By comparison, a chest X-ray carries a dose of approximately 0.02-0.2 mSv [10] and natural background radiation exposure is around 2.3 mSv/year. [11] Thus, each cardiac CT scan carried out with current protocols (dose approximately 1 mSv) is equivalent to approximately 5-50 chest X-rays or less than 1 year of background radiation.
Two key axes of the heart are the long axis and short axis. The long axis is an imaginary line from the apex of the heart through the center of the tricuspid/mitral valve (depending on ventricle of reference). The short axis is perpendicular to the long axis and shows the heart in cross section.
A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in medicine.
Heart-type fatty acid binding protein is another marker, used in some home test kits. Elevated troponins in the setting of chest pain may accurately predict a high likelihood of a myocardial infarction in the near future. [15] New markers such as glycogen phosphorylase isoenzyme BB are under investigation. [16]
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