Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease (Expert Forum)
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 Cleveland Clinic, MD, Jan 01, 1995 12:00AM
, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - CRC on November 30, 1998 at 08:41:03:
In Reply to: Stages of Stress Test posted by Felix on November 29, 1998 at 19:18:08:
: 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 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
------------------------------------------------------------------------
Dear Felix,
The chart I attached here reads better in the "comments" box and you can see the various stages of the Cornell(11 stages). The first column in the chart is the "functional level" - this is a measure in laymans terms of how good someone's physical activity level is. Normal is normal and fit is a bit better than normal. BSA is body surface area. The next columns are markers of oxygen uptake in ml/kg/min and in METS. Then the grade and speed for each stage of the treadmill test follows.
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.
In Reply to: Stages of Stress Test posted by Felix on November 29, 1998 at 19:18:08:
: 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 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
------------------------------------------------------------------------
Dear Felix,
The chart I attached here reads better in the "comments" box and you can see the various stages of the Cornell(11 stages). The first column in the chart is the "functional level" - this is a measure in laymans terms of how good someone's physical activity level is. Normal is normal and fit is a bit better than normal. BSA is body surface area. The next columns are markers of oxygen uptake in ml/kg/min and in METS. Then the grade and speed for each stage of the treadmill test follows.
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.
