Term
| children have a _____ max vo2 |
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Definition
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Term
| children reach steady state exercise ______ |
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Definition
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Term
| pediatric cardiac input is ______ |
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Definition
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Term
| bloodflow to working muscles is _____ in kids |
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Definition
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Term
| pulmonary response is _____ efficient in kids |
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Definition
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Term
| heart dissipation is ____ efficient in kids |
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Definition
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Term
| why should you exercise test kids? |
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Definition
| measure physical working capacity, use as a diagnostic test, assesses and differentiates symptoms, instills confidence in child and parent |
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Term
| children should always be tested on a |
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Definition
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Term
| Pedaling rates in kids should be the ____ |
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Definition
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Term
| protocol for test depend upon |
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Definition
| goals, measurements to be obtained, whether submax or max is required, abilities, limitations |
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Term
| childrens conditions that will have a lower max |
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Definition
| congenital heart defects, cp, md |
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Term
| max HR do not change in kids until after puberty when there is a decrease of _____ beats per year |
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Definition
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Term
| For those elderly patients with expected low work capacities, the initial workload should be ____ and workload increments should be _____ |
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Definition
| low 2-3 METs; small .5-1.0 |
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Term
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Definition
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Term
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Definition
| diabetes, smoking, HTN, hyperlipidemia, abnormal homocysteine levels |
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Term
| 3 main tests used on PVD patients |
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Definition
| constant load, graded tm protocol, functional status measures |
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Term
| do not exercise test diabetes patient if |
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Definition
| blood glucose >300 mg/dl or >240 w/ ketones in urine |
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Term
| diabetics should consume carbs if blood glucose is |
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Definition
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Term
| exercise should be performed when insulin effects are _____ and blood glucose is _____ |
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Definition
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Term
| individuals with _____ should be tested sub maximally |
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Definition
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Term
| Probability of testing results |
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Definition
-The test itself cannot be the only determining factor of whether or not an individual has this particular disease
-Its also the probability of them actually having this disease before the test even begins |
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Term
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Definition
| The post-test probability of having disease is determined by the disease probability BEFORE the test (symptoms, age, gender, and presence of major risk factors) and the probability that the test will provide a true result |
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Term
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Definition
| %pop that tested positive for disease |
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Term
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Definition
| %pop who are healthy and tested negative for disease |
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Term
| typical or definite angine presence of symptoms |
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Definition
substernal chest discomfort that may radiate to the back, jaw, or arms
symptoms provoked by exertion or emotional stress and relieved by rest and or nitroglycerin |
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Term
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Definition
| chest discomfort that lacks one of the mentioned characteristics of typical angina |
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Term
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Definition
| assessed by the heart rate and systolic BP/diastolic BP responses |
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Term
| ECG Waveforms interpretations |
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Definition
| particularly ST-segment displacement and supraventricular and ventricular dysrhythmias |
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Term
suppression of resting dysrhythmias during exercise ________ presence of underlying CVD
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Definition
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Term
| PVCs that increase in frequency, complexity, or both ______ necessarily signify underlying ischemic heart disease |
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Definition
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Term
| complex ventricular ectopy, including paired or multiform PVCs, and runs of vtach are _____ with significant CVD |
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Definition
| likely to be associated with |
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Term
| Chronotropic incompetence may be signified by A chronotropic index of |
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Definition
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Term
| normal SBP response to exercise |
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Definition
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Term
| Exercise should be discontinued with SBP values of |
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Definition
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Term
| Normal diastolic response to exercise |
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Definition
| no change or decrease in DBP |
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Term
| A DBP of _____ is considered an endpoint for exercise testing |
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Definition
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Term
| Max HR may be predicted from |
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Definition
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Term
| a ____ in HR early in recovery after a symptom-limited max exercise test is also a powerful predictor of overall mortality |
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Definition
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Term
| achievement of age-predicted HR max _____ be used as an absolute test endpoint or as an indication that effort has been maximal |
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Definition
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Term
| a normal BP response to dynamic upright exercise consists of |
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Definition
a progressive increase in SBP
no change or a slight decrease in DBP
a widening of pulse pressure |
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Term
| In patients on vasodilators, calcium channel blockers, angiotensin-converting enzyme inhibitors, and alpha- and beta-adrenergic blockers, the BP response to exercise _______ predicted in the absence of clinical test data |
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Definition
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Term
| Men generally have ______ during max treadmill testing |
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Definition
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Term
| Normal ECG response to exercise includes the following |
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Definition
minor and insignificant changes in P-wave morphology
superimposition of the P and T waves of successive beats
increases in septal Q-wave amplitude
slight decreases in R-wave amplitude
increases in Twave amplitude
minimal shortening of QRS duration
depression of the J point
rate related shortening of the QT interval |
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Term
| ST-segment depression is the most common manifestation of |
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Definition
| exercise induced myocardial ischemia |
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Term
| ST segment depression ______ to a specific area of myocardium, only st-segment elevation does |
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Definition
| does not localize ischemia |
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Term
| Subjective criteria for maximal effort |
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Definition
failure of HR to increase and further increases in exercise intensity
plateau in O2 uptake w/ increased workload
respiratory exchange ratio >1.1
various postexercise venous lactic acid concentrations have been use
a rating of perceived exertion >17 on the 6-20 scale or >9 on the 0-10 scale |
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Term
| causes of false-negative test results |
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Definition
failure to reach an ischemic threshold
monitoring an insufficient number of leads to detect ECG changes
failure to recognize non-ECG signs and symptoms that may be associated with underlying CVD
musculoskeletal limitations to exercise preceding cardiac abnormalities
technical or observer error |
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Term
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Definition
| a measure of how accurately a test result correctly identifies the presence of absense of CVD in tested patients |
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