A prospective client reports unexplained chest pressure when climbing stairs last week and is symptom-free now. What is appropriate before exercise testing?
- APostpone testing and refer for medical evaluation
- BUse a submaximal test instead of a maximal test
- CRefer for medical evaluation, and test now with close heart-rate monitoring
- DTest after a longer warm-up with RPE monitoring
Show answer and explanations
Answer
A
Unexplained chest discomfort with exertion is a sign suggestive of cardiovascular disease. Testing and training wait until a physician has evaluated the client and given clearance, even if the client feels well now.
B
Lowering the test intensity still imposes exertion before an unexplained warning sign is evaluated.
C
Referral is right, but testing before the evaluation still exposes the client to exertion while the cause is unknown.
D
A longer warm-up and RPE monitoring do not substitute for medical evaluation.
A
Unexplained chest discomfort with exertion is a sign suggestive of cardiovascular disease. Testing and training wait until a physician has evaluated the client and given clearance, even if the client feels well now.