Relative contraindications to GXT (12) - ✔✔1. Left main coronary artery stenosis
2. Moderate stenotic valvular heart disease
3. electrolyte abnormalities
4. severe arterial hypertension (SBP>200 or DBP>100)
5. tachy or brady
6. hypertrophic cardiomyopathy
7. neuromotor, muscolosekeltal, or rheumatoid disorder worsened with exercise
8. high degree AV block
9. uncontrolled metabolic disease
10. chronic infectious disease
11. ventricular aneurysm
12. mental or physical impairment
Absolute contraindications to GXT (9) - ✔✔1. recent significant change in resting ECG
2. unstable angina
3. uncontrolled cardiac dysrhythmia
4. symptomatic severe aortic stenosis
5. uncontrolled symptomatic heart failure
6. acute pulmonary embolus/infarction
7. acute myocarditis or pericarditis
8. suspected/known dissecting aneurysm
9. acute systemic infection
7 components of an Informed Consent document - ✔✔1. Purpose/explanation of test
2. potential risks/discomforts of test
3. responsibilities of participant (to report any unusual sensations/pain/etc.)
, 4. Benefits that can be expected
5. Inquiries (ask them)
6. use of medical records
7. freedom of consent
9 major signs and symptoms of CV/Pulmonary/metabolic diseases - ✔✔1. anginal pain
2. SOB with mild exertion
3. dizziness/syncope
4. orthopnea (SOB while lying flat) or paroxysmal nocturnal dyspnea
5. ankle edema
6. palpitations or tachycardia
7. intermittent claudication (muscle pain due to inadequate bloodflow)
8. known heart murmur
9. unusual fatigue during ADL's
Claudication definition - ✔✔muscular pain caused by inadequate blood flow to the muscle
Orthopnea definition - ✔✔SOB while lying flat
10 indications to stop a GXT - ✔✔1. onset of anginal pain
2. drop in SBP of 10mmHg (or more) with increased work rate
3. excessive rise in BP (SBP>/=250 or DBP>/= 115)
4. SOB, wheezing, leg cramp, claudication
5. signs of poor perfusion (ataxia, pallor, cyanosis)
6. failure of HR to increase with increased intensity
7. Arrythmias
8. subject asks to stop
9. signs of severe fatigue (physical/verbal)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller VasilyKichigin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.48. You're not tied to anything after your purchase.
