Transcription of Contra-indications, Risks, and Data to Support …
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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, > 60% VO2maxRisk Classifications pg 27zLow Risk men < 45, women < 55 yrs asymptomatic 0 or 1 CAD risk factorzModerate Risk Older 2 or more risk factorszHigh Risk signs, symptoms, or known CV, pulmonary, or metabolic diseases7 ACSM RISK FACTORS, pg 22zFamily historyzCigarette smokingzHypertensionzDyslipidemiazImpaired fasting glucosezObesityzSedentary Lifestyle7 ACSM RISK FACTORSzFamily history (m> 55, f> 65)zCigarette smoking (<6 mo)zHypertension (>140/90)zDyslipidemia (TC >200 mg/dL, LDL > 130 mg/dL, HDL < 40 mg/dL, or on lipid lowering meds)2 Risk Factors, fasting glucose (>100mg/dL)zObesity (>30 kg/m2, wg > 102cm m or 88cm f.)
1 zHow safe is stress testing? zContra-indications zTermination Criteria Ellstad Chapt 5 ACSM Chapts 3-6 Contra-indications, Risks, and Safety Precautions for Stress Testing Data to Support Stress Testing zSeattle Heart Watch Study • …
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