ExRx Test 1

Men’s Positive Risk Factor Age

>= 45

Women’s Positive Risk Factor Age

>=55

Positive Risk Factor - Family History

MI, Coronary Revascularization, or Sudden Death before 55 yrs in male first degree relative or 65 yrs in female first degree relative

Positive Risk Factor - Cigarette Smoking

Current smoker who quite within previous 6 months

Positive Risk Factor - Physical Inactivity

Under 500-100 MET-min or 75-150 min/wk moderate to vigorous intensity physical activity

Positive Risk Factor - BMI

>= 30

Positive Risk Factor - Blood Pressure

>= 130/80

Positive Risk Factor - Lipids

LDL >= 130

HDL < 40 (men) or HDL < 50 (woman)
Total Serum Cholesterol >= 200

On Lipid-Lowering Medication

Positive Risk Factor - Blood Glucose

Fasted >= 100

OGTT >= 140

Negative Risk Factor

HDL >= 60 mg

Not Participating in Regular Exercise and No CV, Metabolic, or Renal Disease and No Signs or Symptoms

Medical Clearance Not Necessary

Light to Moderate Exercise Recommended with Gradual Progression

Not Participating in Regular Exercise and Known CV, Metabolic, or Renal Disease and Asymptomatic

Medical Clearance Recommended

Light to Moderate Exercise Recommended with Gradual Progression

Not Participating in Regular Exercise and Any Signs or Symptoms of CV, Metabolic, or Renal Disease and Asymptomatic (Regardless of Status)

Medical Clearance Recommended

Light to Moderate Exercise Recommended with Gradual Progression

Participating in Regular Exercise and No CV, Metabolic, or Renal Disease and No Signs or Symptoms

Medical Clearance Not Necessary

Continue Moderate to Vigorous Exercise with Gradual Progression

Participating in Regular Exercise and Known CV, Metabolic, or Renal Disease and Asymptomatic

Medical Clearance Not Necessary for Moderate Intensity (Medical Clearance Needed within last 12 months for Vigorous)

Continue Moderate Exercise with Gradual Progression Following Medical Clearance

Participating in Regular Exercise and Any Signs or Symptoms of CV, Metabolic, or Renal Disease and Asymptomatic (Regardless of Status)

Discontinue Exercise and Seek Medical Clearance

May Return to Exercise following Medical Clearance with Gradual Progression

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Pain

Any pain in the chest, neck, jaw, arms, or other areas that may be a result of myocardial ischemia

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Shortness of Breath

Uncomfortable breathing without reason, sign of cardiac and pulmonary disease

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Dizziness or Syncope

Can be caused by prevention of normal rise and fall in cardiac output

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Orthopnea

Dyspnea at rest or dyspnea 2-5 hrs after onset of sleep

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Ankle Edema

Most evident at night, characteristic of heart failure

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Palpitations or Tachycardia

Forceful or Rapid Heart Beats may be induced by various disorders of cardiac rhythm

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Intermittent Claudication

Pain in lower extremities with inadequate blood supply brought on by exercise

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Known Heart Murmur

Some are innocent, others may signal CVD

Major Signs or Symptoms Suggestive of CV, Metabolic, and Renal Disease - Unusual Fatigue or SOB

Many Origins, but may signal onset of CVD or metabolic disease