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GXT - Peak RPP(–10 R e a s o n f o r T e r m i n a t i o...

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Clinical Exercise Research Facility Northern Arizona University Exercise Testing Sheet Name: Age: Date: Supervising MD: Medication/s: Referring MD: Previous Test Results : Date: Pk METs ST Δ Pk RPP (-10) SxS Resting : Ht (in) Wt (kg) Supine HR: Supine BP: Standing HR: Standing BP: Exercise Test : Age-pred. peak HR 85% age-pred max HR: Time (mph/%grd) METs VO 2 HR (bts min -1 ) BP (mmHg) RPP (-10) RPE Signs/Symptoms 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Total Test Time:
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Unformatted text preview: Peak RPP (–10) R e a s o n f o r T e r m i n a t i o n : Recovery : Exercise Testing Summary Interpretation : Please comment on heart rate and blood pressure responses to exercise, exercise tolerance including peak METs reached any signs or symptoms, ECG responses (resting supine ECG, arrhythmias, ishemia, etc), and complete the Duke Nomogram for this client. Signed Time HR BP Signs/Symptoms Time HR BP Signs/Symptoms IPE 1 2 4 6 8...
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