Cardiac Function Test

CARDIAC FUNCTION TEST

To assess electric and structural function Assessment of cardiac risk is an important factor for treatment decision making in patients with coronary artery disease Guidelines for preoperative investigation before cardiac surgery suggest the mandatory performance of full blood count, renal profile, ECG, chest radiograph, and consideration of a clotting profile. Cardiac surgery patients will also need many more specialized investigations. Include simple non-invasive and more complicated invasive tests of cardiac function. Non-invasive Chest x-ray- It is mainly indicated in the presence of cardio respiratory symptoms or signs. Key clinical finding is heart size and pulmonary vascular flow. ECG- Key clinical finding includes rate, rhythm, axis, ischemia, infarction and hypertrophy. Echocardiography- Key clinical findings are segmental wall motion, ejection fraction, valvular function and congenital anatomic defects. Can be performed percutaneously or transoesophageal Two-dimensional echocardiography allows assessment of o Muscle mass o Ventricular function / ejection fraction o End-diastolic and end-systolic volumes o Valvular function o Segmental defects Exercise test Invasive Cardiac catheterization Thallium scanning Tests currently used for evaluation of patients with CAD include stress electrocardiography (ECG), stress or pharmacologic echocardiography, stress or pharmacologic myocardial perfusion imaging (MPI), electron beam computed tomography (EBCT), and positron emission tomography (PET) Complete detailed clinical examination is the main part of test.

1|Page