Pwc 170 Cycle Ergometer Exercise Test Page 2
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1
2Workload and Heart Rate Monitoring
Initial Workload for STAGE I:
Body Mass
Workload
< 50 kg (110 lbs)
0.25 Kp
≥ 50 kg (110 lbs)
0.50 Kp
8. STAGE I.
a. Initial Workload: __ . __ __ Kp
b. Heart Rate Minute 1: _______ bpm
c. Heart Rate Minute 2: _______ bpm
If the average heart rate obtained during the last 10 seconds of STAGE I is:
<= 90 bpm
then add 2.00 Kp for Stage II
91-120 bpm
then add 1.00 Kp for Stage II
121-149 bpm
then add 0.50 Kp for Stage II
150-164 bpm
then add 0.25 Kp for Stage II
>165 bpm
then
DONE
9. STAGE II.
a. Total Workload: __ . __ __ Kp
b. Heart Rate Minute 3: _______ bpm
c. Heart Rate Minute 4: _______ bpm
If the average heart rate obtained during the last 10 seconds of STAGE II is:
<= 120 bpm
then add 2.00 Kp for Stage III
121-140 bpm
then add 1.00 Kp for Stage III
141-160 bpm
then add 0.50 Kp for Stage III
161-164 bpm
then add 0.25 Kp for Stage III
>165 bpm
then
DONE
10. STAGE III. a. Total Workload: __ . __ __ Kp
b. Heart Rate Minute 5: _______ bpm
c. Heart Rate Minute 6: _______ bpm
If the average heart rate obtained during the last 10 seconds of STAGE III is:
<= 120 bpm
then add 2.00 Kp for Stage IV
121-140 bpm
then add 1.00 Kp for Stage IV
141-160 bpm
then add 0.50 Kp for Stage IV
161-164 bpm
then add 0.25 Kp for Stage IV
>165 bpm
then
DONE
Go to Stage IV, if necessary
11. STAGE IV. a. Total Workload: __ . __ __ Kp
b. Heart Rate Minute 7: _______ bpm
c. Heart Rate Minute 8: _______ bpm
12.
Was the test terminated due to signs and symptoms of exercise intolerance?
YES
NO
13.
Comments:
MFI / Version A / November 15, 2004
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