Auscultation after Exercise

Do any of you listen to your patient's heart & lungs at rest and then make your patient do some form of exercise and then auscultate again?

If so what sort of exercise and for how long?

I have asked patients to run on the spot for 5 minutes but she was quite fit and that wasn't really stretching aerobic capacity so I guess until out of breath my be a better way of doing it.

I'd be interested in your thoughts.

Brian,

Your post reminded me of this earlier thread where I explained a similar procedure...

http://erotic-clinic.zity.biz/forum/index.php?topic=16507.msg197526#msg197526

Yes I had performed many female exams that ended with the woman masturbating after the gynecological exam while I repeat the heart auscultation. Apart from that I like to listen with "valsalva manoeuvre", with passages from standing to squatting ( I don't use it very much), and sometimes only some quick sitting/standing passages and then listen: I would like to auscultate during exercice like in a gym bicycle but then there you have listening during masturbation gives you a similar psysiogic response of the heart and play patients usually find it very exciting ( so do I).

There is a very simple and interesting test that can be done during cyber-visits - it rquires no equipment. This was validated by a consortium of life insurance companies and has actuarial significance. Ok this is a dynamic test of the heart - auscultation is static (more or less). Using computer clock take the resting pulse (apical, radial artery, matters not) record that value. Then one minute of exervise - vigorous excercise. Once patient ceases at precisely one minute. Record nothing! Rather time three minutes of rest. The heart should have returned to normal. How simple - how statistically significant

DrLaennec ClinicalUSMLE (Yahoo chat)

I thinking about do a cycletrip, with a stethoscope hanging around my neck.

Than I could listen on my heart on the trip. :-\

I think a treadmill or bike topless possibly with an EKG would be interesting to watch the heart rate increase over a few minutes.

Yes, I sometimes auscultate my girlfriend's heart at rest and then compare her heart rate after I have her do some exercises. Most of these sessions take place as part of her physical exam. I have her lay on her back on the living room floor of her apartment. I make sure she remains still (no talking) for a few minutes. I then pull up her T-shirt and place the bell of the stethoscope just below her left breast. Her heart rate is usually around 72-75. I think it could be slower if she did not drink caffinated drinks so much and was in better physical shape. Anyway, I then have her get up and begin to do jumping jacks for about a minute. Since she is not in the best shape, she already appears to be out of breath after the one minute. I have her stop and lay on her back on the floor. Placing the bell of the stethoscope back onto her chest, I now hear her heart pounding at about 130-135 beats per minute. Her breathing is also a bit labored. With her heart beating so strongly, I often can see the rapid pulsing at the side of her neck just underneath the left side of her jaw bone. Sometimes I will place two fingers alongside that area of her neck to feel these strong pulsations. At other times, I will remove the stethoscope and place my hand onto her chest to feel her heart laboring inside her chest. After some rest, her heart rate returns to normal.

Would say after using treadmill for a period of time was fun,

I prefer listen to the heart of other person when he/she did some physical exercices such as run or sit/stand several times. I find his/her heart sounds very nice then

Oh, yeah... it's great to listen the heart that way.

I like to make them run, do squats or flexing. Anything that can make the heart run wild... and then listen through recovery.

Listening to patients before and after squats is a good evaluation method.

Also, listening while fingering them

I'd like to try this once, but so far I never had to go through such an exam...

When I'm at the gym and I do some squats (with heavy weight) my heart is incredibly pounding (but not fast)so much that if i get on a balance the pointer goes up and down!!:-)

It would be funny to listen to the heart (in that condition)....but I can't :'(

I do this often, especially if the patient has a murmur

Always on a stress test, real

I have had this done during two REAL stress tests (treadmill). I was clad only in gym shorts and tennis shoes both times and certainly enjoyed the extra auscultation that I received. The blood pressure cuff remained on the entire time while electrodes were placed across my chest. I also received a very thorough cardio exam prior to beginning each treadmill exam. My chest also had to be shaved during both exams. I did not like the shaving but the hair grew back rather quickly. It also helped that both times the technicians were male. It was a little odd at first, but turned out to be kind of cool, having strangers shaving my chest.

I would make my patient first stay still and auscultate her heart than make her jump up and down than auscultate below left nipple. Her heart is always pounding way like mad.

I love to listen to an increased heart rate and then listen to it slow down to normal resting rate

Now I wish I became a doctor...

Never tried this. I would give them a good long steth before exercise. Then, I would make the patient go on a running machine for at least 10 minutes. Whilst they were lifting some light weights, I would then take out the steth and listen to them in all four quadrants. Also try this without the weights. I can almost hear the lub dubs as I write this lol

Who has had their heartbeat and lungs listened to after intense exercise? Who listened (doctor, partner)? How fast was your heartbeat and breathing? Did the listener use Stethoscope, Doppler, EKG? Listening to a girl's (or her listening to mine) rapid pounding heartbeat after exercise is the most exciting and arousing aspect of auscultation for me. Anyone have experiences or fantasies they want to share?

I've never had this happen, but would LOVE to. My dream would be to have a stress test bare-chested...my DD breasts bouncing everywhere. I would be auscultated while hooked up to an EKG, and have an echo done before and immediately after exercise. The test would ramp up until I was gasping for air, my heart rate as high as it could go...near 180...and then have it monitored extensively during cool down.

I've listened to my own heart after exercise at the gym and it's pretty amazing to hear. When I want to listen after a workout I'll use my Isteth app on my phone. Once I smuggled my littmann cardio III in my purse and went to the bathroom right after I finished cardio, took the purse with me and listened in one of the stalls 😃

When I had an exercise bike, I'd listen to my heart while I worked out. Always made my heart pound harder and a little faster. I'd inevitably spike my heart rate as high as possible, usually just shy of 200. Unbelievable to hear it working when it's that fast.

Listening to a girl's rapid pounding heartbeat and also CHECKING HER BP DURING THE EXERCISE (on treadmill for example) is the most exciting and arousing aspect of auscultation for me 😃

I had my stethbuddy listening to my heartbeat with her stethoscope after exercise some times.

The best was when we went outside hiking on a hill seeking for a quiet place, bringing our steths on the backpacks, then I stepped up and down on a big stone and she listened all the recovery 😃...of course I did the same on her

I've listened to my own quite a lot after exercise but I do get a physical at work every year and during that I have the whole stress test by the doctor

When I had my physicals at school, we would have our heart stethed at rest (although it would still be beating a bit faster than normal) and then had to run on the spot fast for a minute whilst standing there shirtless and in our boxers and then be stethed again after.

When I had my physicals at school, we would have our heart stethed at rest (although it would still be beating a bit faster than normal) and then had to run on the spot fast for a minute whilst standing there shirtless and in our boxers and then be stethed again after.

...and what about girls? Were they asked the same? Were they shirtless (braless) ?

I like to listen to my heart after exercise. I train a lot running, cycling and weights. My heart after running can be as quick as 180 bpm usually directly after sprints. Ill sprint up the stairs when I get home and listen to it steadily return to normal.