Abstract
For many clinicians, an exercise stress test offers diagnostic and prognostic information. Foremost is the assessment of chest pain and repolarization changes in the electrocardiogram (ECG) suggestive of myocardial ischemia. However, other data collected during an exercise stress test provide useful prognostic information and are helpful in guiding return to work, developing an exercise prescription, and managing the patient during exercise training. This chapter focuses on the procedures necessary to insure that the exercise stress test yields information useful for guiding exercise training in cardiac rehabilitation or at home.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
American College of Sports Medicine. ACSM Guidelines for Exercise Testing and Prescription, 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005.
Balady GJ, Bricker JT, Chaitman BR et al. ACC/AHA 2002 Guideline Update for Exercise Testing: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing); 2002. Available at http://www.acc.org/clinical/guidelines/exercise/dirIndex.htm
Ades PA, Savage PD, Brawner CA et al. Aerobic Capacity in Patients Entering Cardiac Rehabilitation. Circulation. 2006;113:2706–2712.
McConnell TR, Klinger TA, Gardner JK, Laubach CA, Herman CE, Hauck CA. Cardiac Rehabilitation Without Exercise Tests for Post-Myocardial Infarction and Post-Bypass Surgery Patients. J Cardiopulm Rehabil. 1998;18:458–463.
Andreuzzi RA, Franklin BA, Gordon NF, Haskell WL. National Survey of Exercise Practices in Outpatient Cardiac Rehabilitation Programs. Med Sci Sports Exerc. 2004;34(Suppl 5):S181.
Myers J, Froelicher VF. Optimizing the Exercise Test for Pharmacological Investigations. Circulation. 1990;82:1839–1846.
Fleg JL, Pina IL, Balady GJ et al. Assessment of Functional Capacity in Clinical and Research Applications: An Advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association. Circulation. 2000;102:1591–1597.
Keteyian SJ, Marks CRC, Brawner CA, Levine AB, Kataoka T, Levine TB. Responses to Arm Exercise in Patients with Compensated Heart Failure. J Cardiopulm Rehabil. 1996;16:366–371.
Fletcher GF, GJ Balady, Amsterdam EA et al. Exercise Standards for Testing and Training: A Statement for Healthcare Professionals from the American Heart Association. Circulation. 2001;104:1694–1740.
Pickering TG, Hall JE, Appel LJ et al. Recommendations for Blood Pressure Measurement in Humans and Experimental Animals Part 1: Blood Pressure Measurement in Humans. Hypertension. 2005;45:142–161.
Bruce RA, Fisher LD, Cooper MN et al. Separation of Effects of Cardiovascular Disease and Age on Ventricular Function with Maximal Exercise. Am J Cardiol. 1974;34:757–763.
Brawner CA, Ehrman JK, Schairer JR, Cao JJ, Keteyian SJ. Predicting Maximum Heart Rate Among Patients with Coronary Heart Disease Receiving β-Adrenergic Blockade Therapy. Am Heart J. 2004;148:910–914.
Stevenson WG, Chaitman BR, Ellenbogen KA et al. Clinical Assessment and Management of Patients with Implanted Cardioverter-Defibrillators Presenting to Nonelectrophysiologists. Circulation. 2004;110:3866–3869.
Rodgers GP, Ayanian JZ, Balady G et al. ACC/AHA Clinical Competence Statement on Stress Testing: A Report of the American College of Cardiology/American Heart Association/American College of Physicians–American Society of Internal Medicine Task Force on Clinical Competence. J Am Coll Cardiol. 2000;36:1441–1453.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Humana Press Inc.
About this chapter
Cite this chapter
Brawner, C.A. (2007). Graded Exercise Testing. In: Kraus, W.E., Keteyian, S.J. (eds) Cardiac Rehabilitation. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-452-0_10
Download citation
DOI: https://doi.org/10.1007/978-1-59745-452-0_10
Publisher Name: Humana Press
Print ISBN: 978-1-58829-770-9
Online ISBN: 978-1-59745-452-0
eBook Packages: MedicineMedicine (R0)