Unit 2a

• explains purpose of and procedure for each diff assessment • explains risks and benefits • ensures confidentiality • indicates participation is voluntary • allows parental approval for minors

• do you smoke • do you have high cholestrol ? • do you have high blood pressure ? • are you more then 10kg over weight ? • do you have family history of heart disease or stroke ? • do you feel stressed or depressed most of the time ? • are you male older then 45 or female over 55 ? • chest pains or fainting ? • do you have diebetes ? • do you exercise less then 3 times per week for less then 30 min ?

• demographics • complaint • symptoms • relieving and aggravating factors • previous treatment received • other medical conditions and family history • goals

• chest pain • shortness of breathe 3, syncope • orthopnea • ankle edema • palpitations • intermittent claudication • heart murmur • fatigue

• ischemia on ecg • angina 3.cardiac arrththmias • aortic stenosis • heart failure • acute pulmonary infarcation • acute myocarditis • aneursyms in aorta or brain • acute infections

• S tenotic valvular heart disease (moderate) • E lectrolyte abnormalities • T achyarrhythmias • H ypertrophic cardiomyopathy • M usculoskeletal disorders • I nfections (chronic) • M etabolic disorders • 3 rd degree av block • L eft coronary atery stenosis • H ypertention • V entricular aneurysm

• has your doctor ever said you have high bp ? or heart condition • do you have pain in chest when active or rest • lost balance or lost consciousness in past 12 m • have you ever been diagnosed with another chronic medical condition ? • are you taking medication for chronic condition ? • do you have or have had (past 6 m) any bone, joint, soft tissue problem that could be made worse ? • has your doctor ever said you should only do medical supervised PA?

• low - asymptomatic active < 40 and < 2 cAD • moderate - asymptomatic , inactive > 2 cad • high - symptomic or known cad,

INactive and known or shows signs Active and shows signs

• age • family history • hypercholesterolemia • hypertension • smoking • obesity • prediabetes/diabetes • physical inactivity