Certified EkG technician (CET) Practice Exam

What is a common cause for discontinuing a stress test?

1. Patient fatigue

2. ST segment elevation

3. Normal heart rate response

4. Chest discomfort

The correct answer is: ST segment elevation

The choice indicating that ST segment elevation is a common cause for discontinuing a stress test is correct because ST segment elevation can signify a critical condition, such as myocardial ischemia or an acute coronary event. When an EKG displays ST elevation during a stress test, it raises immediate concerns about the patient's safety and heart health. In the context of stress testing, clinicians monitor the cardiac response closely. If ST segment elevation occurs, it strongly indicates that the heart muscle may not be receiving enough oxygen, suggesting that the patient could be experiencing a serious underlying issue. Therefore, it is essential to terminate the test promptly to prevent potential harm and ensure that the patient receives appropriate medical intervention. While patient fatigue, normal heart rate response, and chest discomfort can be important considerations during a stress test, they typically do not warrant an immediate discontinuation of the test as ST segment elevation does. Fatigue is common, especially in longer tests, and while it should be monitored, it may not pose the same level of risk. A normal heart rate response is actually a desired outcome of the stress test, indicating effective heart function under stress. Chest discomfort, though a potential sign of trouble, can sometimes be within an acceptable range for stress testing, whereas ST segment elevation alarms clinicians