AACVRP CCRP Exam
Relative Contraindications to exercise training - Answer-2nd or 3rd degree block
A-fib with uncontrolled ventricular rate
Tachy or brady- arrhythmia
Electrolyte abnormalities
SBP>200/DBP>100
Chronic infection (HIV)
Hypertrophic cardiomyopathy
Uncontrolled metabolic disease
Absolute Contraindications to exercise training - Answer-Significant changes in ECG
Uncontrolled angina
Uncontrolled HF
Symptomatic aortic stenosis
Acute myo- peri- carditis
Systemic infection, fever, swollen lymph
When to stop exercise training - Answer-DBP > or = 110
Decrease in SBP > 10
2nd or 3rd degree block
S/S of exercise intolerance (marked SOB, angina, ECG suggesting ischemia)
, ST segment down slope during exercise - Answer-Exercise induced myocardial ischemia
ST segment elevation on normal ECG during exercise - Answer-Significant myocardial ischemia
Standard for a positive ST down slope - Answer-> or = 1.0 mm
Baseline presence of ST abnormalities are - Answer-Less specific for myocardial ischemia
When to terminate training based on ventricular ectopy - Answer-Sustained ventricular tachycardia
Multi focal PVCs
Triplets of PVCs
Combined with symptoms and Myocardial ischemia
MET - Answer-metabolic equivalent
1 MET = - Answer-3.5 mL/kg/min of oxygen
Peak oxygen uptake of less than 14-15 ml/kg/min - Answer-Very low functional capacity
Rate Pressure Product - Answer-Reflects myocardial demand
RPP = - Answer-[HR x SBP]/100
Relative Contraindications to exercise training - Answer-2nd or 3rd degree block
A-fib with uncontrolled ventricular rate
Tachy or brady- arrhythmia
Electrolyte abnormalities
SBP>200/DBP>100
Chronic infection (HIV)
Hypertrophic cardiomyopathy
Uncontrolled metabolic disease
Absolute Contraindications to exercise training - Answer-Significant changes in ECG
Uncontrolled angina
Uncontrolled HF
Symptomatic aortic stenosis
Acute myo- peri- carditis
Systemic infection, fever, swollen lymph
When to stop exercise training - Answer-DBP > or = 110
Decrease in SBP > 10
2nd or 3rd degree block
S/S of exercise intolerance (marked SOB, angina, ECG suggesting ischemia)
, ST segment down slope during exercise - Answer-Exercise induced myocardial ischemia
ST segment elevation on normal ECG during exercise - Answer-Significant myocardial ischemia
Standard for a positive ST down slope - Answer-> or = 1.0 mm
Baseline presence of ST abnormalities are - Answer-Less specific for myocardial ischemia
When to terminate training based on ventricular ectopy - Answer-Sustained ventricular tachycardia
Multi focal PVCs
Triplets of PVCs
Combined with symptoms and Myocardial ischemia
MET - Answer-metabolic equivalent
1 MET = - Answer-3.5 mL/kg/min of oxygen
Peak oxygen uptake of less than 14-15 ml/kg/min - Answer-Very low functional capacity
Rate Pressure Product - Answer-Reflects myocardial demand
RPP = - Answer-[HR x SBP]/100
