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Contra-indications, Risks, and Data to Support …

1zHow safe is stress testing?zContra-indicationszTermination CriteriaEllstad Chapt 5 acsm Chapts 3-6 contra - indications , risks , andSafety Precautions for Stress TestingData to Support Stress TestingzSeattle Heart Watch Study asymptomatic persons with 2 or more CAD risk factors have a 15 x greater risk of developing CADzAmerican Heart Committee Recommends stress testing persons older than 40 or with CAD risk factors before beginning a vigorous exercise programACSM guidelines , pg 20 Low RiskModerateRiskHigh RIskModerateExercisenonoyesVigorousExerc isenoyesyesModerate exercise < 3-6 METS < 40-59% VO2maxVigorous exercise > 6 METS.

3 Conflicting Guidelines? zLegally, safe if you go with “published standards” zGo with laboratory standards • Ellstad • ACSM •NASA • Exercise Physiology Lab • Rehabilation site ACSM Absolute Contra-

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