EHR519 Lecture Notes - Lecture 11: Exercise Prescription, Cardiology, Revascularization
1. Week 11 – Graded Exercise Stress Testing of
Cardiopulmonary Clients
Medical Supervision during Exercise Testing
Common testing scenarios:
Exercise physiology practice: will need
supervision from a visiting or onsite physician.
May be a multidisciplinary allied healthcare
facility. No exercise stress testing >85% HRmax
in moderate risk clients or at all in high risk
clients unless a physician is present
Hospital: will usually schedule periods of CPX
testing and a physician will attend these
periods.
Cardiology practice: cardiac technician (may be
an AEP or not) will have the cardiologist on
standby as needed (usually pre to confirm
suitability of client for testing; available in
latter stages of test)
Respiratory practice: respiratory technician will
have the respirologist on standby as needed
(similar to cardiologist practice)
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Exercise Testing: Indications and Purposes
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Diagnostic Exercise Testing
Patients with a high probability of disease (e.g., typical angina, prior coronary revascularization, myocardial
infarction) are tested to assess residual myocardial ischemia, to assess threatening ventricular arrhythmias, and for
health prognosis rather than for diagnostic purposes.
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Document Summary
Week 11 graded exercise stress testing of. Exercise physiology practice: will need supervision from a visiting or onsite physician. No exercise stress testing >85% hrmax in moderate risk clients or at all in high risk clients unless a physician is present. Hospital: will usually schedule periods of cpx testing and a physician will attend these periods. Cardiology practice: cardiac technician (may be an aep or not) will have the cardiologist on standby as needed (usually pre to confirm suitability of client for testing; available in latter stages of test) Respiratory practice: respiratory technician will have the respirologist on standby as needed (similar to cardiologist practice) Patients with a high probability of disease (e. g. , typical angina, prior coronary revascularization, myocardial infarction) are tested to assess residual myocardial ischemia, to assess threatening ventricular arrhythmias, and for health prognosis rather than for diagnostic purposes. The magnitude of ischemia caused by a coronary lesion generally is:
