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Exercise Stress Testing for Older Persons Starting an Exercise Program
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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To the Editor: Dr Gill and colleagues1 stated that few older persons are capable of achieving maximal effort on a stress test, defined as a respiratory exchange ratio of 1.10 or greater, but it is unclear if the authors suggest that patients undergoing stress testing should attempt to achieve maximal effort. It is also important to differentiate between stress testing for screening purposes and maximal exercise testing to determine functional capacity.
Most elderly people are able to achieve maximal effort during a maximal exercise test, depending on the protocol used. Ramp treadmill protocols rather than stage protocols use more gradual increases (eg, every 30-60 seconds) in work rate toward maximal effort, are better tolerated by older persons of varying fitness and health, and may be a better tool to determine maximal performance. Determination of functional capacity is important for older adults,2-3 and stress testing to determine functional capacity can guide . . . [Full Text of this Article]
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RELATED LETTER
Role of Exercise Stress Testing and Safety Monitoring for Older Persons Starting an Exercise Program
Thomas M. Gill, Loretta DiPietro, and Harlan M. Krumholz
JAMA. 2000;284(3):342-349.
ABSTRACT
| FULL TEXT
RELATED ARTICLE
Role of Exercise Stress Testing and Safety Monitoring for Older Persons Starting an Exercise Program
Thomas M. Gill, Loretta DiPietro, and Harlan M. Krumholz
JAMA. 2000;284(3):342-349.
ABSTRACT
| FULL TEXT
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