Timothy Chandanshive

Apollo Cinic Qatar

Title: Standardized Protocols in Treadmill Stress Testing: Improving Safety, Diagnostic Efficiency and Patient Satisfaction

Biography

Timothy K. Chandanshive is a highlyexperienced cardiology professional with a distinguished career spanning overthree decades. He began his academic journey at Kodoli High School and receivedhis initial clinical training at Wanless Hospital, where he laid a strongfoundation in patient care. He further advanced his expertise at the CardilineDiagnostic Centre, specializing in non-invasive cardiology and refining hisdiagnostic acumen. Currently, Chandanshive serves asthe Head of the Cardiology Department at Apollo Health Care Group in Doha,Qatar. His areas of specialization include Treadmill Stress Testing (TMT) andElectrocardiography (ECG), with a particular emphasis on protocol-drivendiagnostic accuracy, patient safety, and clinical education. Renowned for his leadership andcommitment to high standards of care, Chandanshive has played a pivotal role inenhancing cardiovascular diagnostic outcomes through the implementation of bestpractices and evidence-based methodologies in his department.

Abstract

Background: Treadmill Stress Testing (TMT) is the cornerstone in the diagnosis of CAD. Variability in preparation, testing, and emergency response may affect test quality safety and outcome.

Objective: To provide a systematic, protocol-based strategy for TMT, emphasizing ECG preparation, patient education, risk stratification, and emergency preparedness, in accordance with contemporary guidelines set by the MOPH.

Methods: A prospective trial was performed in 100 patients undergoing TMT. Routine protocols consisted of:

ECG Preparation: Optimizing high-quality baseline ECG recordings to limit artifacts and maximize diagnostic precision.

Patient Education: Clear explanations to reduce anxiety and facilitate cooperation.

Patient Companion: The need of a bystander or a next of kin of the patient for emotional and legal support.

Risk Assessment: Contrasting contraindications and evaluating the risk factors, such as medication (e.g., beta-blockers), according to MOPH guidelines .

Protocol Selection: Utilizing proper TMT protocols (e.g., Bruce, Modified Bruce) depending on fitness levels of the patient and clinical indications .

Emergency Management: Activating blue team alerts and being prepared for immediate response to untoward effects.

Results: Application of standardized protocols led to: A 25% decrease in complications related to test.Enhanced patient satisfaction ratings. Improved diagnostic accuracy and yield.

Conclusion: Strict adherence to standard protocols during TMT improves the safety of patients, enhances diagnostic performance, and maintains compliance with set guidelines.