A patient with a cytopenia (anemia, neutropenia, thrombocytopenia) should not exercise under certain circumstances when the risk exceeds benefit.


NOTE: This appears to refer to noncontact exercise such as walking, biking or jogging. Different cutoffs may be appropriate if the person has greater risk for bleeding or environmental exposures.


Contraindications to exercise:

(1) absolute neutrophil count < 1,000 per µL with possible signs and symptoms of infection (fever, dyspnea, tachypnea, other)

(2) platelet count < 20,000 per µL

(3) anemia with hemoglobin < 7 g/dL if asymptomatic and no history of coronary artery disease

(4) anemia with hemoglobin < 9 g/dL if symptomatic (dizziness, dyspnea) OR if the patient has a history of coronary artery disease


Other restrictions:

(1) platelet count 20,000 - 50,000 per µL AND certain exercises (isometric strengthening, isotonic strengthening with resistance)


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