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. Author manuscript; available in PMC: 2024 Nov 1.
Published in final edited form as: Heart Fail Rev. 2023 Apr 18;28(6):1285–1296. doi: 10.1007/s10741-023-10310-9

Table 2:

Signs and symptoms for stopping exercise testing or setting upper limit of exercise training

Onset of angina or other symptoms of cardiac insufficiency
≥1.0 mm ST-segment depression, horizontal or downsloping)
Systolic blood pressure ≥250mmHg or diastolic blood pressure ≥115mmHg
Decrease in systolic blood pressure >10mmHg during exercise with increasing workload
Increased frequency of ventricular dysrhythmias
Other significant electrocardiogram disturbances (e.g. second- or third-degree atrioventricular block, atrial
fibrillation, supraventricular tachycardia, complex ventricular ectopy).
Other signs/symptoms of exercise intolerance (e.g. light-headedness, cyanosis, shortness of breath)

Adapted from American College of Sports Medicine [21], and Myers [7].