Bronchial Stress Test

Bronchial stress testing is done to make a diagnosis of Exercise Induced Bronchospasm (EIB) or assess breathlessness in patients with a history of asthma symptoms in patients with suspected EIB.

How Do I Schedule Testing?
To schedule a test you must have a test ordered by a physician. To make an appointment call (509) 946-4611 ext 2119.

Who Performs The Testing
Two Respiratory Therapists specially trained in exercise testing will perform your test. A Pulmonologist will interpret the results and provide your physician with a report.

Indications For PFT Testing
Including but not limited to:
• Evaluate breathlessness on exertion.
• Evaluate asthma symptoms that cannot be diagnosed with a methacholine challenge.
• Assess the response to therapeutic interventions

When is a test contraindicated?
Including but not limited to:
• Ventilatory impairment:
• Heart attack or stoke with in 3 months
• Known aortic or cerebral aneurysm
• Uncontrolled hypertension
• Inability to perform spirometry of an acceptable quality
• Significant response to diluents, >10% fall from baseline in the FEV1.0
• Upper or lower respiratory tract infection with previous six weeks
• Current use of cholinesterase-inhibitor medication
• Pregnancy

How Do I Prepare?
Plan on arriving 15 minutes before your appointment for check-in.  You will check in at the patient registration desk in the main lobby of the hospital.
• No heavy exercise should be done on the same day of the test.
• Wear loose, comfortable clothes.  Bring shoes suitable for exercise
• Do not eat a heavy meal for 2 hours before the test.

48 hours prior to test stop all:
• Stop long-acting bronchodilators (Theophylline, Theodur, Serevent, Advair, Foradil)
• Stop anticholinergics (Combivent, Atrovent, Duoneb, Tilade, Intal)
• Anti-histamines

24 hours prior to test:
• Stop Leikotriene modifiers (Singulair, Accolate, Syflo)
• 8 hours prior to test:
• Stop all bronchodilators (Proventil, maxair, Ventolin, Albuterol, Xopenex, Accuneb.

What do I do during testing?
During testing you will be breathing through a specialized mouthpiece and hooked up to ECG monitoring equipment. You will be asked to exercise on a bike or treadmill while being closely monitored by KRMC staff. Before and after testing your will perform spirometry testing (blowing forcefully through a mouthpiece). If necessary you may be given Albuterol to treat your respiratory symptoms. Your ability to perform and follow the testing instructions will impact the quality of your test results.

How do I get my test results?
You may receive a copy of your test results by contacting the Health Information Department at 946-4611 ext 2017.