Absolute/Relative Contraindications to GXT Flashcards

(40 cards)

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

18
Q

tachyarrhythmias or bradyarrhthmias

19
Q

ventricular aneurysm

20
Q

high degree AV block

21
Q

uncontrolled metabolic disease

ex: diabetes, thyrotoxicosis, myxedema

22
Q

chronic - active infectious disease

AIDs, mononucleosis, hepatitis

23
Q

Physical and mental limitations

Neuromuscular, musculoskeletal problems, rheumatoid arthritis

24
Q
dangerous ventricular ectopy 
successive PVCs (3+)
PVCs compose > 30%
R on T
multifocal PVC
25
Unstable Angina
contraindication
26
SBP > 200 mmHg | DBP > 110 mmHg
contraindication
27
Orthostatic BP drop of > 20 mmHg with symptoms
contraindication
28
severe aortic stenosis
contraindication
29
uncontrolled atrial or ventricular arrhythmias
contraindication
30
uncontrolled sinus tachycardia
contraindication
31
uncompensated heart failure
contraindication
32
uncompensated heart failure
contraindication
33
3rd degree AV block without pacemaker
contraindication
34
active pericarditis or myocarditis
contraindication
35
recent embolism
contraindication
36
thrombophlebitis
contraindication
37
resting ST segment depression or elevation > 2mm
contraindication
38
uncontrolled diabetes (glucose>400 mg/dl)
contraindication
39
acute systemic illness or metabolic problems
contraindication
40
orthopedic problems that would preclude exercise
contraindication