Table 6.

Stratifies patients with sarcoidosis for engagement in exercise.

Strata of Engagement	Advisement	Comments
No cardiopulmonary involvement	Unrestricted but targeted to and guided by patient needs, and tolerance	Gradual increment of intensity, repetitions, and duration
Mild cardiopulmonary symptoms	Moderate aerobic intensity with moderate-load resistance exercises	Gradual increment of intensity, repetitions, and duration
Severe cardiopulmonary symptoms	Individualized modification of intensity and duration, with supplemental oxygen as needed	Can be intensified up to 75–80% of a patient’s projected maximal load
Desaturation with exercise	As above for severe
Increase of systolic pulmonary artery pressure with exercise	Load reduction on systemic and pulmonary circulation is an important consideration	Rapid changes in pulmonary hemodynamics interval training may increase risk of syncope