INDICATIONS FOR                                        KEY                                                                                                        CLINICAL

          TESTING                            INFORMATION GATHERED                          OUTCOMES                                   GOALS

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Dyspnea                                 Primary Cause of Dyspnea: Is it the                      Differential DX; Risk Stratification;       Improve Functional               

                                                Lungs, Cardiovascular, Both,                                  Exercise Prescription                              Capacity

                                                Deconditioning, Poor Effort, or

                                                Psychogenic, VO2 max; VO2-AT;

                                                BR%, RQ max

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CAD- Known or                     Measurement of Maximal METS,                          5-Year Prognosis; Risk Stratification;     Improve Functional

Suspected                                Angina Score, ST Deviation                                    Exercise Rx                                              Capacity

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Heart Failure                           Measurement of Maximal METS, VO2                 Prognosis; Risk Stratification;                Improve AT level

                                                Max; VO2 - AT, HR; Work Rate; RQ max            Response to Therapy                             through therapeutic

                                                                                                                                                                                                interventions

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Post-MI;                                 Measured VO2 max; Systolic BP;  ST                   8-Year Prognosis; Risk Stratification;     Improve Functional

Chest Pain                               depression; Maximal METS                                   Exercise Prescription                              Capacity; Identify

                                                                                                                                                                                                low-risk subgroup

                                                                                                                                                                                                not needing CATH

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Occupational Work                 METS. VO2 max; VO2- AT; Work Rate               VO2>25 ml/kg-No limit  VO2 25-20      Safe recommendation

Capacity; Disability                                                                                               ml/kg - Mild VO2 20-15 ml/kg -             for Return -to -Work

Assessment; Functional                                                                                          Moderate VO2< 15 ml/kg - Severe        

Capacity Assessment

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Pre-Op Major                         VO2 max; VO2-AT; Markers of Ischemia             VO2-AT>11 ml/kg = 6-42%                  Lower mortality rate,

Surgical Mortality                                                                                                   VO2-AT<11 ml/kg = 0-4%                    ICU bed days, total bed

                                                                                                                                                                                                days, cost to treat

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Athletic Performance;             VO2 max; VO2-AT; O2 cost vs. running               Exercise Prescription; Evaluation of       Objective quantifiable

Wellness Evaluations              speed                                                                       training program                                      markers of fitness and                                                                                                                                                                                                                                                                                             improvement

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