Absolute/Relative Contraindications to GXT Flashcards
Recent significant ECG changes (ischemia)
absolute
Recent MI (within 2 days)
absolute
Symptomatic ventricular arrhthmia
absolute
symptomatic supra ventricular arrhthmia
absolute
uncontrolled symptomatic heart failure
absolute
unstable angina
absolute
suspected or known dissecting aneurysm
absolute
acute myocarditis or pericarditis
absolute
thrombophlebitis or intracardiac thrombi
absolute
acute pulmonary embolus or infarction
absolute
acute systemic infection
absolute
symptomatic & severe aortic stenosis
absolute
resting SBP > 200 mmHg
DBP > 110mmHg
Relative
left main coronary obstrurction
Relative
moderate stenotic valvular heart disease
Relative
electrolyte abnormalities
Relative
hypertrophic cardiomyopathy/ outflow tract obstruction
Relative
tachyarrhythmias or bradyarrhthmias
Relative
ventricular aneurysm
Relative
high degree AV block
Relative
uncontrolled metabolic disease
ex: diabetes, thyrotoxicosis, myxedema
Relative
chronic - active infectious disease
AIDs, mononucleosis, hepatitis
Relative
Physical and mental limitations
Neuromuscular, musculoskeletal problems, rheumatoid arthritis
Relative
dangerous ventricular ectopy successive PVCs (3+) PVCs compose > 30% R on T multifocal PVC
Relative
Unstable Angina
contraindication
SBP > 200 mmHg
DBP > 110 mmHg
contraindication
Orthostatic BP drop of > 20 mmHg with symptoms
contraindication
severe aortic stenosis
contraindication
uncontrolled atrial or ventricular arrhythmias
contraindication
uncontrolled sinus tachycardia
contraindication
uncompensated heart failure
contraindication
uncompensated heart failure
contraindication
3rd degree AV block without pacemaker
contraindication
active pericarditis or myocarditis
contraindication
recent embolism
contraindication
thrombophlebitis
contraindication
resting ST segment depression or elevation > 2mm
contraindication
uncontrolled diabetes (glucose>400 mg/dl)
contraindication
acute systemic illness or metabolic problems
contraindication
orthopedic problems that would preclude exercise
contraindication