Patient-determined endpoints |
Patient wants to stop |
Significant chest discomfort |
Marked fatigue or severe dyspnea |
Other limiting symptoms (dizziness, leg cramps, joint discomfort, etc) |
Provider-determined endpoints |
Patient does not look well (eg, ataxia, confusion, pallor, cyanosis, etc) |
Exertional hypotension (systolic BP below standing systolic BP measured at rest prior to test) |
Systolic BP >250 mmHg |
Diastolic BP >120 mmHg |
ECG endpoints |
- Marked ST segment depression
|
- New bundle branch block which cannot be distinguished from ventricular tachycardia
|
- New high grade (ie, Mobitz 2 or complete) AV block
|
- Ventricular tachycardia or fibrillation
|
- Increasing ventricular ectopy (premature beats, couplets or nonsustained ventricular tachycardia), especially if ischemia present
|
- Onset of supraventricular tachyarrhythmias
|
Equipment failure |
Protocol-determined endpoints (submaximal tests) |
Heart rate determined (eg, 120 to 140 bpm) |
Workload determined (eg, 5 METs) |