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Key Points of Exercise Testing
-Manual SBP measurement (not automated) most important for safety
-Adjust to clinical history (couch potatoes)
-No Age predicted Heart Rate Targets
-The BORG Scale of Perceived Exertion
-METs not Minutes
-Fit protocol to patient (RAMP)
-Avoid HV and cool down walk
-Use standard ECG analysis/ 3 minute recovery/ use scores
-Heart rate recovery
-Expired Gas Analysis?
How to read an Exercise ECG
-Good skin prep
-PR isoelectric line
-Not one beat
-Three consistent complexes
-Averages can help
-Garbage in, garbage out
-Three minute recovery
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