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Evaluation

Are you evaluating a patient starting cardiac rehabilitation?

Left ventricular ejection fraction in percent (enter from 0 to 100)

Systolic blood pressure prior to exercise

mm Hg

Systolic blood pressure during exercise

mm Hg

ST segment depression during exercise in mm (enter 0 if none)

Exercise functional capacity

METS

Does/Is the patient ...

• have a history of sudden cardiac arrest?

• have anginal pain during exercise?

• have a history of a recent (< 6 month) myocardial infarction with serious ventricular arrhythmia?

• have a ventricular arrhythmia that appears or gets worse with exercise?

• have a complex ventricular arrhythmia at rest?

• have a history of shock or congestive heart failure during a recent (< 6 months) myocardial infarction?

• have intellectual or physical impairment that makes self-monitoring of the heart rate impossible?

• have a poor compliance with the exercise prescription?

• had a recent uncomplicated myocardial infarction or coronary revascularization procedure?

• asymptomatic at rest and able to resume most vocational and recreational activities?

Results

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