Barb is a 60yoa female referred by her physican to your phas…
Barb is a 60yoa female referred by her physican to your phase II cardiac rehab program due to her CVD risk factor profile and a graded exercise test (GXT) that was positive for ST segment depression. A brief synopsis of Barb’s medical history, recent labs, and GXT are shown below. Family History: mother had a CABG procedure at age 58; older sister also had a stent placed at age 60 Medications: spironolactone 50mg x 2 daily; amlodipine 100mg x 1 daily Tobacco Use: former smoker; quit 20 years ago Height: 5′ 3” Weight: 162lbs Waist Circumference: 33in Fasting Blood Glucose 110 mg/dL Urea nitrogen 10 mg/dL Creatinine 1.2 mg/dL Sodium 136 mmol/L Potassium 3.6 mmol/L Chloride 105 mmol/L Total Cholesterol 192 mg/dL Triglycerides 195 mg/dL HDL-C 44 mg/dL LDL 102 mg/dL Aspartate aminotransferase (AST) 35 U/L Alanin aminotransferase (ALT) 42 U/L HbA1C 45 mmol/mol Graded Exercise Test: Resting HR: 80bpm Supine BP: 138/80 Standing BP: 140/82 Time Speed (mph) Grade (%) HR BP RPE MET Symptoms (0-4 scale) ECG 1 1.7 10 89 .5mm horizontal ST dep. 2 1.7 10 92 .5mm horizontal ST dep. 3 1.7 10 109 154/84 14 4.7 .5mm horizontal ST dep. 4 2.5 12 123 1mm horizontal ST dep. 5 2.5 12 136 1mm horizontal ST dep. 6 2.5 12 152 182/84 19 7.0 1.5mm horizontal ST dep. 7 1.7 0 140 1mm horizontal ST dep. 8 1.7 0 136 166/84 .5mm horizontal ST dep. 9 1.7 0 132 .5mm horizontal ST dep. 10 1.7 0 134 152/84 .5mm horizontal ST dep. 11 Resting seated 115 .5mm horizontal ST dep. 12 Resting seated 107 136/82 NSR Based on Barb’s GXT, what is her VO2 peak in ml/kg*min? ACSM walking equation: VO2= (0.1 x speed) + (1.8 x speed x grade) + 3.5