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*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
and
- 2025
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Questions
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Review
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ACSM CEP-Testing and Prescription
Everyone should participate in 150 min/week of moderate aerobic activity, 75 min/week
of vigorous aerobic activity, or a combo if both. Additional health benefits are generated
✅
with more than 300 min/week of moderate or 150 min/week of vigorous aerobic activity.
Should perform muscle strengthening activities ≥2 days/week. - -Primary Physical
Activity Recommendations from 2008 Physical Activity Guidelines Advisory Committee
Report
High levels are associated with significantly better cardiometabolic risk factor profile,
lower all-cause mortality risk, fever CVD events, lower risk of developing physical
function limitations, and lower risk of nonfatal disease. Also, improved body comp, blood
glucose, insulin sensitivity, and BP in people with mild/moderate HTN. Benefits people
with T2DM (type II diabetes mellitus) and PAD (peripheral artery disease). Exercises
enhancing muscle strength and mass also increase bone mass (BMD) and strength,
which helps combat/prevent/reverse osteoporosis. - -Health Benefits of Improving
Muscular Fitness
Cardiovascular/Respiratory Improvements: ↑ VO2 max. ↓minute Ventilation at given
absolute submax intensity. ↓myocardial O2 cost at given absolute submax intensity. ↓
HR & BP at submax intensity. ↑ Capillary density in skeletal muscle. ↑ exercise
threshold for blood lactate accumulation. ↑ exercise threshold for the onset of disease
signs or symptoms (angina, ischemic ST depression, and claudication). - -Benefits
of Regular PA and/or Exercise
Reduction in Cardiovascular Disease (CVD) Risk Factors: ↓ Resting SBP/DBP, ↑ serum
HDL and ↓ triglycerides, ↓ TBF (total body fat), intra-abdominal fat, insulin needs, ↑
glucose tolerance, ↓ blood platelet adhesiveness/aggregation, inflammation -
-Benefits of Regular PA and/or Exercise
Other benefits of Regular PA and/or Exercise: ↓ anxiety and depression, ↑ cognitive
function, enhanced physical function & independent living in older individuals, enhanced
feeling of well-being, enhanced work/recreational/sport performance, ↓risk of falls and
injuries in older individuals - -Benefits of Regular PA and/or Exercise
1. Need for medical clearance before initiating/progressing exercise programming is
determined using updated & revised ACSM screening algorithm & the help of a qualified
exercise/healthcare professional. In absence of professional assistance, individuals may
use self-guided methods
2. If indicated during screening, medical clearance should be sought from respective
healthcare providers (primary care/cardiologist, etc.). Manner of clearance should be
determined by clinical judgement and discretion of provider. - -Preparticipation
health screening: 2 Stage Process
Shortness of breath (dyspnea) @ rest or with mild exertion
Dyspnea (abnormally uncomfortable awareness of breathing). Commonly occurs during
strenuous exercise in healthy/well-trained people & in moderate exercise in
healthy/untrained people. *should be regarded as abnormal if experienced at level of
exertion not expected to evoke symptom*
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
Page 1 of 46*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
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✅
Abnormal exertional dyspnea suggests presence of Cardiopulmonary. disorders, in
particular left ventricular (LV) dysfunction (LVD) or COPD - -Signs/Symptoms
Suggestive of CVD, Metabolic, and Renal Disease
Pain; discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other
areas typical of myocardial ischemia
Key features favoring ischemic origin:
Character: constricting, squeezing, burning, "heaviness" or "heavy feeling"
Location: substernal, across midthorax, anteriorly; one/both arms, shoulders; in neck,
cheeks, teeth; in forearms, fingers
Provoking factors: exercise/exertion, excitement, stress, cold weather, post-meals
Key features against ischemic origin:
Character: dull ache; "knife-like", "sharp, stabbing pain"; "jabs" aggravated by
respiration
Location: left submammary area; left hemithorax
Provoking factors: post-exercise, provoked by a specific body motion -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Dizziness/Syncope
Syncope (loss of consciousness). Dizziness or Syncope during exercise may result from
cardiac disorders that prevent normal rise of CO. Potentially life-threatening & include
severe CAD, Hypertrophic Cardiomyopathy (HCM), Aortic Stenosis (AS)
[narrowing/aortic valve doesn't open fully], & Ventricular Dysrhythmias (Ven DysRhyth)
Post Exercise: dizziness/syncope should not be ignored, but these symptoms may
occur even in healthy individuals due to ↓ venous return to heart -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Orthopnea/Paroxysmal Nocturnal Dyspnea (PND)
Orthopnea (dyspnea at rest in recumbent position.) Usually relived by standing/sitting
upright. PND begins 2-5 hours after onset of sleep (relieved by sitting on side of
bed/getting out of bed). Both are symptoms of LVD. Nocturnal Dyspnea may occur in
patient's w/ COPD, it differs because it is relieved after a bowl movement rather than
sitting up. - -Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Ankle Edema (AE)
Bilateral AE most evident at night is *a characteristic sign of heart failure (HF) or
bilateral chronic venous insufficiency. Unilateral AE of limb often results from venous
thrombosis (clot) or lymphatic blockage in limb. Generalized edema (anasarca) occurs
in individuals w/ nephrotic syndrome (kidney disorder; too much protein in urine), severe
HF, or hepatic (liver) cirrhosis. - -Signs/Symptoms Suggestive of CVD, Metabolic,
and Renal Disease
Palpitations/Tachycardia
Palpitations (unpleasant awareness of forceful/rapid beating of the heart). Can be
induced by various disorders of cardiac rhythm. I.E. Tachycardia (Tachy [HR >100
bpm]), Sudden onset Bradycardia (Brady [HR <60 bpm]), Ectopic beats (disturbance of
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
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the cardiac rhythm related to electrical conduction of heart) [PAC or PVC],
compensatory pauses, & accentuated (more prominent) SV from valvular regurgitation.
Can also see palpitations anxiety, ↑ CO states (such as anemia, fever, thyrotoxicosis
[overactive thyroid], arteriovenous fistula [abnormal connection between artery and
✅
vein], and idiopathic hyperkinetic heart syndrome [hyperactivity of the heart]) -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Intermittent Claudication (IC)
IC refers to pain occurring in lower extremities (LE) w/ an inadequate blood supply
(typically from atherosclerosis [hardening/narrowing of arteries]) that is brought on by
exercise. Pain doesn't occur w/ sitting or standing, reproducible from day to day, more
severe when walking @ incline (stairs, hill) & is described as a cramp, which disappears
1-2 min after exercise. CAD is more prevalent in individuals with IC. Patients w/
Diabetes Mellitus (DM) are more at risk for IC. - -Signs/Symptoms Suggestive of
CVD, Metabolic, and Renal Disease
Known Heart Murmur
Some may be innocent, but heart murmurs (HM) may indicate valvular or other types of
CVD. From an exercise safety standpoint, it's important to exclude hypertrophic
cardiomyopathy (HCM) and aortic stenosis (AO) [narrowing of aortic valve] as
underlying causes because these are among the more common causes or
exertion-related Sudden Cardiac Death (SCD). - -Signs/Symptoms Suggestive of
CVD, Metabolic, and Renal Disease
Unusual Fatigue or Dyspnea with usual activities
May be benign origins for symptoms, they may also signal the onset/or change in status
of CVD or Metabolic Disease - -Signs/Symptoms Suggestive of CVD, Metabolic,
and Renal Disease
No CV, Metabolic, or Renal Disease AND no S/S suggestive of CV, Metabolic, or Renal
disease
Medical Clearance Not Necessary
Light - Moderate Intensity Exercise Recommended May gradually ↑ to Vigorous
Intensity Exercise following ACSM Guidelines - -ACSM Preparticipation Screening
Algorithm - Doesn't Participate in Regular Exercise
Known CV, Metabolic, or Renal Disease AND Asymptomatic (showing no
signs/symptoms)
Medical Clearance Recommended
Following Medical Clearance, Light - Moderate Intensity Exercise Recommended May
gradually ↑ as tolerated following ACSM Guidelines - -ACSM Preparticipation
Screening Algorithm - Doesn't Participate in Regular Exercise
Any S/S or Symptoms Suggestive of CV, Metabolic, or Renal Disease * Regardless of
disease status
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
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Medical Clearance Recommended
✅
Following Medical Clearance, Light - Moderate Intensity Exercise Recommended May
gradually ↑ as tolerated following ACSM Guidelines - -ACSM Preparticipation
Screening Algorithm - Doesn't Participate in Regular Exercise
No CV, Metabolic, or Renal Disease AND No S/S suggestive of CV, Metabolic, or Renal
disease
Medical Clearance Not Necessary
Continue Moderate - Vigorous Intensity Exercise May gradually progress following
ACSM Guidelines - -ACSM Preparticipation Screening Algorithm - Participates in
Regular Exercise (structured PA @ moderate intensity for at least 30/min *3-4
days/week* past 3 months)
Known CV, Metabolic, or Renal Disease AND Asymptomatic
Medical Clearance for Moderate Intensity Exercise Not Necessary Medical Clearance
(w/in last 12 months if no change in S/S) Recommended before engaging in Vigorous
Intensity Exercise
Continue w/ Moderate Intensity Exercise Following Medical Clearance, may gradually
progress as tolerated following ACSM Guideline - -ACSM Preparticipation
Screening Algorithm - Participates in Regular Exercise (structured PA @ moderate
intensity for at least 30/min *3-4 days/week* past 3 months)
Any S/S or Symptoms suggestive of CV, Metabolic, or Renal Disease *Regardless of
disease status
Discontinue Exercise & Seek Medical Clearance
May Return to Exercise following Medical Clearance Gradually progress as tolerated
following ACSM Guidelines - -ACSM Preparticipation Screening Algorithm -
Participates in Regular Exercise (structured PA @ moderate intensity for at least 30/min
*3-4 days/week* past 3 months)
Lowest Risk: Characteristics of patients @ lowest risk for Exercise Participation (all
must be present to remain at lowest risk)
Absence of complex Ventricular Dysrhythmia, absence of angina or other significant S/S
(Dyspnea, Syncope, or dizziness during XT. Presence of normal hemodynamics during
XT & Recovery (appropriate ↑, ↓ in HR, SBP, w/ ↑ workloads and recovery. Functional
capacity ≥ 7 METs
Non-Exercise Testing Findings: Resting EF (ejection fraction) ≥50%. Uncomplicated MI
(myocardial infarction [heart attack]) or revascularization procedure (CABG). Absence of
complicated Ven. Dysrhythmia at rest. Absence of CHF (congestive heart failure).
Absence of S/S of post-event/post-procedure myocardial ischemia (tissue death of heart
muscle). Absence of clinical depression. - -AACVPR Risk Stratification Criteria for
Patients w/ CVD (XT =Exercise Testing)
Moderate Risk: @ moderate risk for Exercise Participation (any one/combination of
these findings put someone at moderate risk)
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
Page 4 of 46*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
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ACSM CEP-Testing and Prescription
Everyone should participate in 150 min/week of moderate aerobic activity, 75 min/week
of vigorous aerobic activity, or a combo if both. Additional health benefits are generated
✅
with more than 300 min/week of moderate or 150 min/week of vigorous aerobic activity.
Should perform muscle strengthening activities ≥2 days/week. - -Primary Physical
Activity Recommendations from 2008 Physical Activity Guidelines Advisory Committee
Report
High levels are associated with significantly better cardiometabolic risk factor profile,
lower all-cause mortality risk, fever CVD events, lower risk of developing physical
function limitations, and lower risk of nonfatal disease. Also, improved body comp, blood
glucose, insulin sensitivity, and BP in people with mild/moderate HTN. Benefits people
with T2DM (type II diabetes mellitus) and PAD (peripheral artery disease). Exercises
enhancing muscle strength and mass also increase bone mass (BMD) and strength,
which helps combat/prevent/reverse osteoporosis. - -Health Benefits of Improving
Muscular Fitness
Cardiovascular/Respiratory Improvements: ↑ VO2 max. ↓minute Ventilation at given
absolute submax intensity. ↓myocardial O2 cost at given absolute submax intensity. ↓
HR & BP at submax intensity. ↑ Capillary density in skeletal muscle. ↑ exercise
threshold for blood lactate accumulation. ↑ exercise threshold for the onset of disease
signs or symptoms (angina, ischemic ST depression, and claudication). - -Benefits
of Regular PA and/or Exercise
Reduction in Cardiovascular Disease (CVD) Risk Factors: ↓ Resting SBP/DBP, ↑ serum
HDL and ↓ triglycerides, ↓ TBF (total body fat), intra-abdominal fat, insulin needs, ↑
glucose tolerance, ↓ blood platelet adhesiveness/aggregation, inflammation -
-Benefits of Regular PA and/or Exercise
Other benefits of Regular PA and/or Exercise: ↓ anxiety and depression, ↑ cognitive
function, enhanced physical function & independent living in older individuals, enhanced
feeling of well-being, enhanced work/recreational/sport performance, ↓risk of falls and
injuries in older individuals - -Benefits of Regular PA and/or Exercise
1. Need for medical clearance before initiating/progressing exercise programming is
determined using updated & revised ACSM screening algorithm & the help of a qualified
exercise/healthcare professional. In absence of professional assistance, individuals may
use self-guided methods
2. If indicated during screening, medical clearance should be sought from respective
healthcare providers (primary care/cardiologist, etc.). Manner of clearance should be
determined by clinical judgement and discretion of provider. - -Preparticipation
health screening: 2 Stage Process
Shortness of breath (dyspnea) @ rest or with mild exertion
Dyspnea (abnormally uncomfortable awareness of breathing). Commonly occurs during
strenuous exercise in healthy/well-trained people & in moderate exercise in
healthy/untrained people. *should be regarded as abnormal if experienced at level of
exertion not expected to evoke symptom*
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
Page 1 of 46*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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Solv
,&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
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Questions
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Review
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Questions
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✅
Abnormal exertional dyspnea suggests presence of Cardiopulmonary. disorders, in
particular left ventricular (LV) dysfunction (LVD) or COPD - -Signs/Symptoms
Suggestive of CVD, Metabolic, and Renal Disease
Pain; discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other
areas typical of myocardial ischemia
Key features favoring ischemic origin:
Character: constricting, squeezing, burning, "heaviness" or "heavy feeling"
Location: substernal, across midthorax, anteriorly; one/both arms, shoulders; in neck,
cheeks, teeth; in forearms, fingers
Provoking factors: exercise/exertion, excitement, stress, cold weather, post-meals
Key features against ischemic origin:
Character: dull ache; "knife-like", "sharp, stabbing pain"; "jabs" aggravated by
respiration
Location: left submammary area; left hemithorax
Provoking factors: post-exercise, provoked by a specific body motion -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Dizziness/Syncope
Syncope (loss of consciousness). Dizziness or Syncope during exercise may result from
cardiac disorders that prevent normal rise of CO. Potentially life-threatening & include
severe CAD, Hypertrophic Cardiomyopathy (HCM), Aortic Stenosis (AS)
[narrowing/aortic valve doesn't open fully], & Ventricular Dysrhythmias (Ven DysRhyth)
Post Exercise: dizziness/syncope should not be ignored, but these symptoms may
occur even in healthy individuals due to ↓ venous return to heart -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Orthopnea/Paroxysmal Nocturnal Dyspnea (PND)
Orthopnea (dyspnea at rest in recumbent position.) Usually relived by standing/sitting
upright. PND begins 2-5 hours after onset of sleep (relieved by sitting on side of
bed/getting out of bed). Both are symptoms of LVD. Nocturnal Dyspnea may occur in
patient's w/ COPD, it differs because it is relieved after a bowl movement rather than
sitting up. - -Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Ankle Edema (AE)
Bilateral AE most evident at night is *a characteristic sign of heart failure (HF) or
bilateral chronic venous insufficiency. Unilateral AE of limb often results from venous
thrombosis (clot) or lymphatic blockage in limb. Generalized edema (anasarca) occurs
in individuals w/ nephrotic syndrome (kidney disorder; too much protein in urine), severe
HF, or hepatic (liver) cirrhosis. - -Signs/Symptoms Suggestive of CVD, Metabolic,
and Renal Disease
Palpitations/Tachycardia
Palpitations (unpleasant awareness of forceful/rapid beating of the heart). Can be
induced by various disorders of cardiac rhythm. I.E. Tachycardia (Tachy [HR >100
bpm]), Sudden onset Bradycardia (Brady [HR <60 bpm]), Ectopic beats (disturbance of
&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
Page 2 of 46*!@^#T&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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Review 2024
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Solv
,&^TEV&^^R%^R^E&^UGS&^EFS*&S@(*EOILKSN@>(*ACSM
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)))____________ACSM CEP-Testing and Prescription CEP-Testing
Review 2024
CEP-Testing
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100% Correct.pdf
the cardiac rhythm related to electrical conduction of heart) [PAC or PVC],
compensatory pauses, & accentuated (more prominent) SV from valvular regurgitation.
Can also see palpitations anxiety, ↑ CO states (such as anemia, fever, thyrotoxicosis
[overactive thyroid], arteriovenous fistula [abnormal connection between artery and
✅
vein], and idiopathic hyperkinetic heart syndrome [hyperactivity of the heart]) -
-Signs/Symptoms Suggestive of CVD, Metabolic, and Renal Disease
Intermittent Claudication (IC)
IC refers to pain occurring in lower extremities (LE) w/ an inadequate blood supply
(typically from atherosclerosis [hardening/narrowing of arteries]) that is brought on by
exercise. Pain doesn't occur w/ sitting or standing, reproducible from day to day, more
severe when walking @ incline (stairs, hill) & is described as a cramp, which disappears
1-2 min after exercise. CAD is more prevalent in individuals with IC. Patients w/
Diabetes Mellitus (DM) are more at risk for IC. - -Signs/Symptoms Suggestive of
CVD, Metabolic, and Renal Disease
Known Heart Murmur
Some may be innocent, but heart murmurs (HM) may indicate valvular or other types of
CVD. From an exercise safety standpoint, it's important to exclude hypertrophic
cardiomyopathy (HCM) and aortic stenosis (AO) [narrowing of aortic valve] as
underlying causes because these are among the more common causes or
exertion-related Sudden Cardiac Death (SCD). - -Signs/Symptoms Suggestive of
CVD, Metabolic, and Renal Disease
Unusual Fatigue or Dyspnea with usual activities
May be benign origins for symptoms, they may also signal the onset/or change in status
of CVD or Metabolic Disease - -Signs/Symptoms Suggestive of CVD, Metabolic,
and Renal Disease
No CV, Metabolic, or Renal Disease AND no S/S suggestive of CV, Metabolic, or Renal
disease
Medical Clearance Not Necessary
Light - Moderate Intensity Exercise Recommended May gradually ↑ to Vigorous
Intensity Exercise following ACSM Guidelines - -ACSM Preparticipation Screening
Algorithm - Doesn't Participate in Regular Exercise
Known CV, Metabolic, or Renal Disease AND Asymptomatic (showing no
signs/symptoms)
Medical Clearance Recommended
Following Medical Clearance, Light - Moderate Intensity Exercise Recommended May
gradually ↑ as tolerated following ACSM Guidelines - -ACSM Preparticipation
Screening Algorithm - Doesn't Participate in Regular Exercise
Any S/S or Symptoms Suggestive of CV, Metabolic, or Renal Disease * Regardless of
disease status
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Medical Clearance Recommended
✅
Following Medical Clearance, Light - Moderate Intensity Exercise Recommended May
gradually ↑ as tolerated following ACSM Guidelines - -ACSM Preparticipation
Screening Algorithm - Doesn't Participate in Regular Exercise
No CV, Metabolic, or Renal Disease AND No S/S suggestive of CV, Metabolic, or Renal
disease
Medical Clearance Not Necessary
Continue Moderate - Vigorous Intensity Exercise May gradually progress following
ACSM Guidelines - -ACSM Preparticipation Screening Algorithm - Participates in
Regular Exercise (structured PA @ moderate intensity for at least 30/min *3-4
days/week* past 3 months)
Known CV, Metabolic, or Renal Disease AND Asymptomatic
Medical Clearance for Moderate Intensity Exercise Not Necessary Medical Clearance
(w/in last 12 months if no change in S/S) Recommended before engaging in Vigorous
Intensity Exercise
Continue w/ Moderate Intensity Exercise Following Medical Clearance, may gradually
progress as tolerated following ACSM Guideline - -ACSM Preparticipation
Screening Algorithm - Participates in Regular Exercise (structured PA @ moderate
intensity for at least 30/min *3-4 days/week* past 3 months)
Any S/S or Symptoms suggestive of CV, Metabolic, or Renal Disease *Regardless of
disease status
Discontinue Exercise & Seek Medical Clearance
May Return to Exercise following Medical Clearance Gradually progress as tolerated
following ACSM Guidelines - -ACSM Preparticipation Screening Algorithm -
Participates in Regular Exercise (structured PA @ moderate intensity for at least 30/min
*3-4 days/week* past 3 months)
Lowest Risk: Characteristics of patients @ lowest risk for Exercise Participation (all
must be present to remain at lowest risk)
Absence of complex Ventricular Dysrhythmia, absence of angina or other significant S/S
(Dyspnea, Syncope, or dizziness during XT. Presence of normal hemodynamics during
XT & Recovery (appropriate ↑, ↓ in HR, SBP, w/ ↑ workloads and recovery. Functional
capacity ≥ 7 METs
Non-Exercise Testing Findings: Resting EF (ejection fraction) ≥50%. Uncomplicated MI
(myocardial infarction [heart attack]) or revascularization procedure (CABG). Absence of
complicated Ven. Dysrhythmia at rest. Absence of CHF (congestive heart failure).
Absence of S/S of post-event/post-procedure myocardial ischemia (tissue death of heart
muscle). Absence of clinical depression. - -AACVPR Risk Stratification Criteria for
Patients w/ CVD (XT =Exercise Testing)
Moderate Risk: @ moderate risk for Exercise Participation (any one/combination of
these findings put someone at moderate risk)
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