week 8 exercise testing

Question 1

ST segment

Depressed 1.0-2.0 mm

Answer 1

Low level Sub max test stop

Question 2

ST segment

Depressed 2.0 mm or more

Answer 2

max testing stop

Question 3

level 1 on the angina pain scale

Answer 3

sub max exercise testing stop

Question 4

level 2 on the angina pain scale

Answer 4

max exercise testing stop

Question 5

increasing freq or pairing of PVC’s

Answer 5

max exercise testing stop

Question 6

frequent unifocal or multifocal PVS’s

Answer 6

sub max ex testing stop

Question 7

development of V - tach

Answer 7

sub max and max exercise testing stop

Question 8

70-75% age predicted max heart rate achieved or 120-130 bpm achieved

Answer 8

sub max exercise testing stop

Question 9

Max heart rate achieved - but can continue if pt needs to and wants to

Answer 9

max exercise testing stop

Question 10

decrease in SBP of 10-15 mmHg below peak value

Answer 10

sub max exercise testing stop

Question 11

Decrease greater or equal to 20 mmHg

Answer 11

max exercise testing stop

Question 12

Systolic > 200 mmHg

Diastolic > 120 mmHg

Answer 12

sub max exercise testing stop

and maybe max too…..

Extremely elevated systolic or diastolic
BP, or both (symptomatic or
asymptomatic) is cause for max testing to stop per notes

Question 13

2nd or 3rd degree heart block

Answer 13

max exercise testing stop

Question 14

A fib

A flutter

Uncontrolled ventricular res. rate

Answer 14

max exercise testing stop

Question 15

17.5 ml of 02/kg

6 METS

Answer 15

sub max exercise testing stop

Question 16

• Unusual HR increase with low-level activity* Blood pressure indicative of HTN* Systolic >210mmHg* Diastolic >110mmHg* Drop in systolic pressure > 10mmHg with low-level exercise* Does not include drop in BP with standing
• Symptoms with activity* Angina level 1 of 4* Dyspnea 2/4* Excessive fatigue* Mental confusion or dizziness* Severe leg claudication – level 8/10 on VAS* Signs of pallor, cold sweat, ataxia* Changing heart sounds with activity – new murmur or ventricular gallop* Changing lung sounds with activity – increase in rales with an increase in SOB * ECG abnormality

Answer 16

acute care setting

contraindication to continuing exercise

Question 17

• Physical or verbal manifestations of severe fatigue* Patient requests to stop* Failure of the monitoring equipment
• Signs of poor perfusion* Light-headedness* Confusion* Ataxia* Pallor* Cyanosis* Nausea* Cold/clammy skin
• SOB or dyspnea* Level 2 or 3/4 or 5/10 (depends on clinical site)* O 2 saturation < 90%* Pulmonary patient – 5% below resting value* Peripheral ischemia claudication* > 8/10 pain on VAS* Onset of angina or angina like symptoms
• Level ¼* Blood pressure* SBP > 250 mmHg* DSP > 115 mmHg* Failure of HR to increase with activity* Exercise hypotension* Drop in SBP > 10 mmHg despite increase workload* Noticeable changes in heart rhythm

Answer 17

General criteria to stop for both sub max and max exercise testing