Asymptomatic adults who wish to begin a vigorous exercise program (60-80% of maximum oxygen uptake, 70-90% of maximum heart rate):
(1) men over 40 years of age
(2) women over 50 years of age
(3) especially if healthy but deconditioned
(4) Exercise testing is not needed in the asymptomatic adult without risk factors performing moderate exercise (40-60% of maximum oxygen uptake, 50-70% maximum heart rate).
Adults over 40 years of age with 2 or more risk factors for coronary artery disease:
(1) smoking
(2) hypertension
(3) diabetes
(4) serum cholesterol > 240 mg/dL
(5) strong family history
(6) abnormal resting cardiogram
Active patients over 50 years of age who plan to go on a long remote trek or climb.