Absolute/Relative Contraindications to GXT Flashcards

1
Q

Recent significant ECG changes (ischemia)

A

absolute

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2
Q

Recent MI (within 2 days)

A

absolute

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3
Q

Symptomatic ventricular arrhthmia

A

absolute

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4
Q

symptomatic supra ventricular arrhthmia

A

absolute

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5
Q

uncontrolled symptomatic heart failure

A

absolute

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6
Q

unstable angina

A

absolute

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7
Q

suspected or known dissecting aneurysm

A

absolute

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8
Q

acute myocarditis or pericarditis

A

absolute

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9
Q

thrombophlebitis or intracardiac thrombi

A

absolute

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10
Q

acute pulmonary embolus or infarction

A

absolute

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11
Q

acute systemic infection

A

absolute

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12
Q

symptomatic & severe aortic stenosis

A

absolute

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13
Q

resting SBP > 200 mmHg

DBP > 110mmHg

A

Relative

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14
Q

left main coronary obstrurction

A

Relative

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15
Q

moderate stenotic valvular heart disease

A

Relative

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16
Q

electrolyte abnormalities

A

Relative

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17
Q

hypertrophic cardiomyopathy/ outflow tract obstruction

A

Relative

18
Q

tachyarrhythmias or bradyarrhthmias

A

Relative

19
Q

ventricular aneurysm

A

Relative

20
Q

high degree AV block

A

Relative

21
Q

uncontrolled metabolic disease

ex: diabetes, thyrotoxicosis, myxedema

A

Relative

22
Q

chronic - active infectious disease

AIDs, mononucleosis, hepatitis

A

Relative

23
Q

Physical and mental limitations

Neuromuscular, musculoskeletal problems, rheumatoid arthritis

A

Relative

24
Q
dangerous ventricular ectopy 
successive PVCs (3+)
PVCs compose > 30%
R on T
multifocal PVC
A

Relative

25
Q

Unstable Angina

A

contraindication

26
Q

SBP > 200 mmHg

DBP > 110 mmHg

A

contraindication

27
Q

Orthostatic BP drop of > 20 mmHg with symptoms

A

contraindication

28
Q

severe aortic stenosis

A

contraindication

29
Q

uncontrolled atrial or ventricular arrhythmias

A

contraindication

30
Q

uncontrolled sinus tachycardia

A

contraindication

31
Q

uncompensated heart failure

A

contraindication

32
Q

uncompensated heart failure

A

contraindication

33
Q

3rd degree AV block without pacemaker

A

contraindication

34
Q

active pericarditis or myocarditis

A

contraindication

35
Q

recent embolism

A

contraindication

36
Q

thrombophlebitis

A

contraindication

37
Q

resting ST segment depression or elevation > 2mm

A

contraindication

38
Q

uncontrolled diabetes (glucose>400 mg/dl)

A

contraindication

39
Q

acute systemic illness or metabolic problems

A

contraindication

40
Q

orthopedic problems that would preclude exercise

A

contraindication