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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(1):109-112.
The Causes for the Premature Termination of Graded Exercise Test in a Cardiac Rehabilitation Setting.
Kim, Chul , Bang, In Keol , Jung, In Tak , Kim, Young Joo , Park, Yoon Kyung
Department of Rehabilitation Medicine, Inje University College of Medicine, Korea. violatax96@hanmail.net
심장재활 환경에서 운동부하검사의 조기 종료의 원인
김철, 방인걸, 정인탁, 김영주, 박윤경
인제대학교 의과대학 재활의학교실
Abstract
Objective
To observe the termination point of graded exercise test (GXT) in cardiac patients and the reasons for the premature termination.
Method
Cardiac patients taking GXT within 4 weeks after medical intervention or surgery were reviewed. If the GXT was stopped below the respiratory exchange ratio of 1.0, the subjects were chosen as the final study subjects and reviewed for the reason of premature termination.
Results
115 out of a total of 715 subjects terminated GXT prematurely. There were 36 cardiovascular, and 79 non- cardiovascular reasons. The cardiovascular reasons were abnormal blood pressure response (19.1%), dysrhythmia (6.1%), ST abnormality (3.5%), vascular claudication (2.6%). The non-cardio-vascular reasons were subjective dyspnea (45.2%), lower limb fatigue (7.8%), hemiplegic gait (5.2%), arthralgia (3.5%), anxiety (3.5%), neurogenic claudication (2.6%), and abdominal pain (0.9%). The causes of dyspnea were low physical fitness (71.1%), concurrent chronic obstructive pulmonary disease (15.4%), poor motivation (5.8%), and secondary gain (7.7%).
Conclusion
16.1% of GXT were terminated prematurely and 68.7% of those for non-cardiovascular reasons. The main causes of the non-cardiovascular premature GXT were subjective dyspnea due to low physical fitness. (J Korean Acad Rehab Med 2007; 31: 109-112)
Key Words: Cardiac rehabilitation, Exercise test


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