Risk classification for exercise training: class D: unstable disease with activity restriction*

This classification includes individuals with any of the following:

1. Unstable ischemia.

2. Severe and symptomatic valvular stenosis or regurgitation.

3. Congenital heart disease; criteria for risk that would prohibit exercise conditioning in patients with congenital heart disease should be guided by the 27^th Bethesda Conference recommendations.

4. Heart failure that is not compensated.

5. Uncontrolled arrhythmias.

6. Other medical conditions that could be aggravated by exercise.

Activity guidelines:

1. No activity is recommended for conditioning purposes.

2. Attention should be directed to treating the patient and restoring the patient to Class C or better.

3. Daily activities must be prescribed on the basis of individual assessment by the patient's personal clinician.

* Exercise for conditioning purposes is not recommended.

Graphic 52847 Version 6.0

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Risk classification for exercise training: class D: unstable disease with activity restriction*