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Heart Disease  (Expert Forum)
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Re: Stages of Stress Test
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Re: Stages of Stress Test

by Felix__0, Jan 01, 1995 12:00AM
Posted By Felix on November 29, 1998 at 19:18:08:

In Reply to: Re: Stages of Stress Test posted by CCF CARDIO MD - CRC on November 24, 1998 at 15:33:06:






What are the various stages of stress test, for example, Level 4.  What are the various levels of activity that make up Level 1, Level 2, etc. and how many levels are there. Thank you!
--------------------------------------------------------------------------------------------------------------------
Dear Marcy,
Each stage refers to a level of exercise.  There are many different types of exercise protocols and each one has a different speed and treadmill grade for each stage.  I have attached below a chart comparing the various protocols.
I hope you find this information useful.  Information provided in the heart forum is for general purposes only.  Only your physician can provide specific diagnoses and therapies.  Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter.  The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
Table 5. Common Exercise Protocols
Functional
Class O2 Cost
ml/kg/min     METS    Treadmill
Protocol
                      Bruce   Cornell Balke   Naughton        Jogger
                      3 Min. Stages
MPH/Grade     2 Min. Stages
MPH/Grade     2 Min Stages
MPH/Grade     2 Min Stages
MPH/Grade     2 Min Stages
MPH/Grade
World Class   70.0    20                                                                              
Athlete       66.5    19      6.0     22                                                              
      63.0    18                                                                      6.0     20.0
      59.5    17      5.5     20                                                      6.0     17.5
Athlete       56.0    16      5.0     18      5.0     18                                      6.0     15.0
      52.5    15                                      4.0     20                      6.0     12.5
      49.0    14                      4.6     17                                      6.0     10.0
Fit   45.5    13      4.2     16      4.2     16      3.5     20                      6.0     7.5
      42.0    12                                                                      6.0     5.0
      38.5    11                      3.8     15      3.0     20.0                    5.5     2.5
Normal        35.0    10      3.4     14      3.4     14      3.0     17.5                    5.0     2.5
and  I        31.5    9                                       3.0     15.0                            
      28.0    8                       3.0     13      3.0     12.5    2.0     21.0            
      24.5    7       2.5     12      2.5     12      3.0     10.0    2.0     17.5            
II    21.0    6                       2.1     11      3.0     7.5     2.0     14.0            
      17.5    5       1.7     10      1.7     10      3.0     5.0     2.0     10.5            
      14.0    4                                       3.0     2.5     2.0     7.0            
III   10.5    3       1.7     5       1.7     5       3.0     0       2.0     3.5            
      7.0     2       1.7     0       1.7     0                       2.0     0              
IV    3.5     1                                                       1.0     0              

Hi
I had a stress test on cornell 10% tredmill.After stress test they told me weght, height, time achived, BSA, and that sress test was negative for ishemia at 100% mphr.What does BSA mean? What is normal range? How many stages does cornell 10% treadmill have? Also what do the numbers after FIT  and NORMAL mean?Thank you.Felix
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