Indications for terminating a symptom limited maximal exercise test

Absolute indication

ST elevation (greater than 1 mm) in leads without preexisting Q waves

Absolute indication

Drop in systolic blood pressure of greater than 10mm Hg

Absolute indication

Moderate-to-severe angina

Absolute indication

Central nervous system symptoms

Absolute indication

Signs of poor perfusion

Absolute indication

sustained ventricular tachycardia or other arrhythmia

Absolute indication

Technical difficulties monitoring the ECG or systolic blood pressure

Absolute indication

The individual's request to stop

1 mm

An absolute indication for stoping an exercise test is an ST elevation greater than this when there is no preexisting Q waves

Q waves

An absolute indication for stoping an exercise test is an ST elevation greater than 1 mmwhen there is no preexisting

10mm Hg

An absolute indication for stoping an exercise test is a drop in systolic blood pressure of greater than

systolic

An absolute indication for stoping an exercise test is a drop in ____blood pressure of greater than 10 mmHg

2+ angina

moderate angina, an absolute indication to stop

3+

severe angina, an absolute indication to stop

ataxia, dizziness, near syncope

Central nervous system symptoms

cyanosis, pallor

Signs of poor perfusion

second- or third-degree atrioventricular block

ustained ventricular tachycardia or other arrhythmia

Moderate-to-severe COPD

may exhibit oxyhemoglobin desaturation with exercise

Moderate-to-severe COPD

monitor the partial pressure of arterial oxygen (PaO,) or percent saturation of arterial oxygen (SaO,) during the exercise testing

severe arterial oxyhemoglobin desaturation

Ground to terminate an exercise test

SaO, ≤ 80%

severe arterial oxyhemoglobin desaturation