Imaging is not necessary if patients are able to achieve more than 10 metabolic equivalents on exercise. Criteria for Positive TMT Strongly positive : flat ST depression of 2.5 mm or more, slowly rising ST depression at J point of 2 mm or more and horizontal or down slopping ST depression appearing in first stage of the exercise and remaining for more than 8 minutes into recovery. Duke treadmill scores typically range from -25 (highest risk) to +15 (lowest risk). It could be that the chest pain is burning. The typical possible range of Duke treadmill scores is from -25 (highest risk) to +15 (lowest risk). Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. If you or someone you love is at risk for heart disease, talk to your doctor about how the. A Duke Treadmill score 5 indicates low risk for cardiovascular events (predicted 4 year survival was 99%). The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Once youve reached this point, continue increasing your speed very slowly untilyou feel completely drained usually taking around an hour total from start to finish. The cookie is used to store the user consent for the cookies in the category "Other. Duke treadmill score is a very efficient scoring system and a good prognostic test for ETT. Keep tabs on your fitness progress with a personalized Duke treadmill training plan to help reach your goals faster. More than 70% of high-risk patients had a 3-vessel or left main occlusive coronary disease on their angiogram. The Duke treadmill score calculator can predict . N Engl J Med. Since many of my. BMJ. During this time, your vital signs will be monitored. J Am Coll Cardiol 1983; 2:56573, Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. A normal test is when patients blood pressure and heart rate increase appropriately to graded exercise. each treadmill score. However, people who are at high risk for cardiovascular disease should not do this type of exercise because it can be too dangerous. Its based on five different measurements: heart rate, oxygen uptake, blood pressure, weight and waist circumference. 3) Shaw LJ et al. For some people, the first sign of CAD can be a heart attack; however, many patients experience various symptoms of this illness beforehand. score of >= +5), moderate-risk (with scores ranging from -10 to +4), and . Duke treadmill score. If youre not used to walking that quickly, start with a lower speed and gradually work your way up over time as you become more comfortable. Duke Treatment Score is a measure of the severity of coronary artery disease and predicts how likely you are to experience a heart attack or stroke. 74% of high risk patients in one of the studies had 3-vessel or left main occlusive coronary disease on angiography. The study population consisted of male veterans (1,872 patients 65 years; 3,798 patients <65 years) who underwent routine clinical exercise testing with a mean follow-up of six years. Dr. Willke suggests that if you want to take the second part of the test, you should block off most of your morning. Electrodes are placed on the chest, which is attached to an ECG machine that is recording the electrical activity of the heart. These cookies will be stored in your browser only with your consent. Press ESC to cancel. Additionally, is a Duke treadmill score of 10 good? The cookie is used to store the user consent for the cookies in the category "Performance". Duke treadmill score. After reaching the desired heart rate, its important to gradually increase your speed until you feel exhausted. ACC/AHA guidelines for exercise testing: executive summary. A Duke treadmill score is a measure of your cardiovascular fitness and can be used to predict how you will respond to stress testing. Exercise stress tests can lead to premature ventricular complexes. The Duke Treatment Score is a measure of how well someone responds to stress testing. I am a fitness equipment salesman and a gym trainer with over ten years of experience in the industry. A higher score indicates better fitness. Yes, a Duke treadmill score of 7 is good and does not have a high risk for cardiovascular events. first minute after peak exercise, and by treadmill exercise score, defined as (exercise time) (53maximum ST-segment deviation) (43treadmill angina index). There are certain ECG and imaging changes that would support this conclusion. Higher scores indicate an increased risk for health problems, so patients who are scheduled for a stress test should have their Duke treadmill score calculated before the test takes place. Patients with intermediate and high risk scores should be referred for additional risk stratification with cardiac imagining components (myocardial perfusion scanning or coronary angiography, or both). What is the Duke Treadmill angina index score? Good lifestyle. The study found that the risk of death was highest in patients with a treadmill score between 22 and 26 percent, which is equivalent to walking at least 12 miles per week on average. The Duke Treadmill Score has been well validated and widely used for many years as a powerful prognostic marker in patients being evaluated for coronary artery disease.1-3 However, in recent years at least 50% of patients referred for stress testing are unable to perform adequate treadmill exercise because of lower extremity or other disabilities and pharmacological evaluations . 2002;325(7361):443. doi:10.1136/bmj.325.7361.443 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1123951, Mark DB, Shaw L, Harrell FE Jr, et al. Duke treadmill score 4: the Duke treadmill score normally ranges between 25 and +15. Duke researchers have developed a score to predict the likelihood of long-term survival after a heart attack. Duke Treadmill Test and Simple Treadmill Test are valid and well known scores which can predict coronary artery disease burden more efficiently than ST segment response alone. Duke University researchers identified a treadmill score that predicts 4-year survival rates for people with heart disease. This nomogram applies to patients with known or suspected coronary artery disease, without prior revascularization or recent myocardial infarction, who undergo exercise testing before coronary angiography 7. The patients in the high-risk group had an average five-year survival rate <75 percent, whereas those in the low-risk group had an average five-year survival rate 95 percent 5. A 12-lead electrocardiogram was recorded before exercise, at the end of each exercise stage, at peak exercise, and at two-minute intervals during recovery. Your email address will not be published. Duke treadmill score. (5) The mark for ischemia is connected with that for exercise duration. A stress test can show problems with blood flow within the heart. I love working in this industry because I get to work with people from all walks of life. This is true if you can't achieve 85% of your maximum heart rate but don't experience any electrocardiogram (EKG) changes that suggest you're experiencing ischemia. None of the patients had prior revascularization or recent myocardial infarction. Its important to keep your Duke treadmill score as high as possible to avoid these risks and improve overall health. By clicking Accept All, you consent to the use of ALL the cookies. We also use third-party cookies that help us analyze and understand how you use this website. The AUC for each treadmill score was compared with the AUC of the ST response alone and the AUCs of the other treadmill scores. google_ad_client: "ca-pub-9759235379140764", Duke Treadmill Score was originally developed using data from 2842 consecutive inpatients referred to Duke University Medical Center between 1969 and 1980 with known or suspected coronary artery disease who underwent exercise testing according to the Bruce protocol 4 before diagnostic angiography who had both cardiac catheterization and treadmill exercise testing 5. Your email address will not be published. Lenders use this information when deciding which borrowers they want to offer credit to and what terms they would like to offer them on their loans for example, interest rates and repayment periods may vary depending on the category into which the loan falls. However, there is little information about the relationship between Duke treadmill test score (DTS) and severity of coronary artery lesion, as well . The testing protocol could be adjusted to a patients tolerance, aiming for 6 to 12 minutes of exercise duration. Mildly positive : horizontal ST depression of 1 to 1.5 mm and slowly rising junctional depression, which remains depressed 1.5 mm or more than 80 ms after the J point. If you have normal heart function, theres no reason to worry. A treadmill test can be positive if it shows signs of ischemic heart disease or angina. For illustrative purposes, the sample was divided into three groups: high risk (score < 10), moderate risk (10 to +4), and low risk ( + 5). Its used to help doctors decide if someone needs further treatment for their heart condition, such as an invasive procedure or medication. An abnormal duke treadmill score is a score that is outside of the normal range for a duke treadmill test. This can be achieved by walking or cycling at a moderate pace for around 20 minutes. But opting out of some of these cookies may affect your browsing experience. The Duke treadmill score (DTS) is a composite index that was designed to provide survival estimates based on results from the exercise test, including ST-segment depression, chest pain, and exercise duration. Accuracy of non-invasive stress testing in women and men with angina in the absence of obstructive coronary artery disease. The results of a treadmill test arent always easy to interpret, so dont hesitate to ask for clarification from your doctor. testing. High risk (score < -11) indicates 5-year survival of 65%. Medical Degree. All patients should be monitored closely during the recovery period until heart rate, and ECG are back to baseline, as arrhythmias and ECG changes can still develop. It was developed to provide diagnostic and prognostic information to help evaluate patients with suspected coronary heart disease. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. This cookie is set by GDPR Cookie Consent plugin. Duke Treadmill Score Duration of exercise in minutes (5 maximal ST-segment deviation during or after exercise in millimeters) (4 the treadmill angina index), where angina index has a value of 0 if the patient had no angina during exercise, 1 if the patient had nonlimiting angina, and 2 if angina was the reason the patient stopped . The 4xAngina Index (where 0 = no angina, 1 = non-limiting angina, 2 = exercise limiting angina) is a way of measuring heart health and describes the severity of coronary artery disease symptoms during physical activity. Ann Intern Med; 106(6):793-800. In general, heart rate and systolic blood pressure should rise with each stage of exercise until a peak is achieved. A high score indicates that the person may respond well to additional treatments and should be monitored closely. The point at which this line intersects the line for prognosis indicates the 5-year cardiovascular survival rate and average annual cardiovascular mortality for patients with these characteristics. We also defined a categorical variable "METs score 10" representing METs score . In: StatPearls [Internet]. 5 to 10 were designated as intermediate risk and those with a treadmill score of 10 were classified as high risk. The purpose of this prospective study is to determine mortality and nonfatal cardiac events in patients at either intermediate pretest risk for CAD or patients with known CAD, achieving 10 METS regardless of peak exercise heart rate. Negative or normal: A negative test result lacks any of the things that could trigger a positive conclusion. The exercise stress test usually takes 10 to 15 minutes, but part one can take up to 45 minutes. A score between 4 and -11 indicates an intermediate risk for coronary artery disease, which means that although there is still a higher chance than average for this condition occurring, it is not as bad as having a score below -11. The Duke Treadmill Score is a weighted index using treadmill exercise time (performed according to the standard Bruce protocol ), maximum net ST-segment deviation (depression or elevation), and exercise-induced angina. By gradually increasing the intensity of the physical activity, a person's maximum METs is measured. Myocardial infarction occurs when the flow of blood in your heart is reduced. The higher the number, the lower the risk. The Duke score will be calculated as follows: Duke score = exercise 5 * ST-segment dev. Patients who stay on the treadmill for 7 minutes or more are in good shape. (4) The total number of minutes of exercise in treadmill testing according to the Bruce protocol (or the equivalent in multiples of resting oxygen consumption [METs] from an alternative protocol) is marked on the exercise-duration line. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. The Duke Treadmill score was developed to provide accurate diagnostic and prognostic information for the evaluation of patients with suspected coronary artery disease (coronary heart disease) who has undergone an exercise stress test. A Duke score of 1 indicates that the loan is considered low risk, while a Duke score of 5 indicates that it is highly risky. The Duke treadmill scoring (DTS) system confers better risk stratification and provides more substantial information about the different classification of risks in patients suspected of coronary artery disease (CAD) compared with conventional treadmill reading, according to a study presented at the Asian Pacific Society of Cardiology (APSC) 2019 The results of a stress test dont rule out the possibility of a heart attack in the future. Patients should be questioned about any symptoms they experience during exercise. The point where this line intersects the ischemia-reading line is noted. Consuming tobacco in a variety of ways. Duke treadmill scores typically range from -25 (highest risk) to +15 (lowest risk). Your Duke Treadmill score is also good. Enhanced risk assessment for primary coronary heart disease events by maximal exercise testing: 10 years experience of Seattle Heart Watch . I'm told this is all great. The consent submitted will only be used for data processing originating from this website. This means that you are exercising at an intense level for a prolonged period of time, which will help assess your overall fitness level. If you're looking to add some physical activity into your life, investing in a low-risk Duke treadmill might be the answer for you. Duke treadmill score of 9. Duke Treadmill Score The score typically ranges from - 25 to + 15. The results of the original study were the following: The score results can help clinicians decide whether they need to refer outpatients with suspected coronary disease for cardiac catheterization. The cookie is used to store the user consent for the cookies in the category "Other. 10. As an Amazon Associate I earn from qualifying purchases.Privacy Policy | Affiliate Disclosure. The 5-year survival of 97% is shown by the low risk score. There is a background to this. enable_page_level_ads: true In this study, the treadmill score identified almost two thirds of the outpatient study population as being at low risk of death from cardiovascular causes, with an average four-year survival. The Duke Treadmill Score has been recommended for risk stratification, but recent evidence has suggested that it does not function in the elderly. These cookies ensure basic functionalities and security features of the website, anonymously. I have worked with many brands such as Adidas, Nike, Under Armour, and more to provide my customers with the best product for their needs. What is an abnormal Duke treadmill score? NOTE: This score is not applicable if patient is known to have CHD. How do I choose between my boyfriend and my best friend? The Duke treadmill score starts at -25 and goes up to +15, with the lowest risk being +15. I. undergo a modified Bruce protocol or a manually adjusted protocol. Pargaonkar VS, Kobayashi Y, Kimura T, Schnittger I, Chow EKH, Froelicher VF, Rogers IS, Lee DP, Fearon WF, Yeung AC, Stefanick ML, Tremmel JA. The Duke treadmill score (DTS) is a composite index that was designed to provide survival estimates based on results from the exercise test, including ST-segment depression, chest pain, and exercise duration. At the conclusion of testing, a report should be included. Rationale: Duke Treadmill Score (DTS) and Simple Treadmill Score (STS) are valid and well known scores which can predict coronary artery disease burden more efficiently than ST segment response alone. 1991; 325(12):849-853. A negative test result shows that a normal test can be used to decrease the likelihood of coronary arteries disease. Fried foods, processed foods, and baked goods all contain these fats. In the original inpatient population, the Duke Treadmill score had a range from 25 (indicating the highest risk) to + 15 (indicating the lowest risk). [1] The calculation is done based on the information obtained from an exercise test by this formula:[citation needed] . Exercise treadmill score for predicting prognosis in coronary artery disease. Their optimal management is not certain. Dont sweat the small stuff if something feels off about your treadmill, get it checked out by a professional before using it for exercise purposes. Their comments failed to note, however, that the Duke Treadmill. People with lower scores may be at increased risk for developing cardiovascular disease or other chronic conditions. The Duke Treadmill score can be used to determine if a patient is at a low, intermediate or high risk for cardiovascular disease. Copyright 2014 - 2023 The Calculator .CO |All Rights Reserved|Terms and Conditions of Use, Exercise treadmill score for predicting prognosis in coronary artery disease, Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease, Use of a prognostic treadmill score in identifying diagnostic coronary disease subgroups, Value of exercise treadmill testing in women. IfduringthesestrextesthepatientexperienceschestpainordiscomfortinanyotherpartofthewisDOMAINthatsnotrelatedtopaintingorexercise(e g.,neckpain),heshouldimmediatelystopexercisingandconsultar D O C immediately. 4) Alexander KP, Shaw LJ, Shaw LK, Delong ER, Mark DB, Peterson ED. What is the formula for calculating solute potential? Is 9 minutes on a treadmill stress test good? Background: Although the Duke treadmill score is generally effective for risk stratification, its prognostic value in the elderly may be limited because they have a higher prevalence of coronary artery disease (CAD), more . It can cause pain in your shoulders, arms, neck, and jaw. This cookie is set by GDPR Cookie Consent plugin. 5 indicates low risk for cardiovascular events (predicted 4 year survival was 99%). Patients were grouped into risk groups based on the treadmill score. The angina index gives 0 points if no angina occurs, 1 point if non-limiting angina occurs and 2 points if angina occurs which limits exercise. There is a modified Bruce protocol for those who cannot exercise vigorously, which adds two lower workload stages to the beginning of the standard Bruce protocol, both of which require less effort than Stage 1. Thoughts? What is a good METs score for a stress test by age? This population does not need further investigation with coronary angiography. Duke treadmill scores can range from -25 to +15, depending on the risk. Make sure to drink plenty of water during and after the test to stay hydrated and avoid feeling overwhelmed by all the exertion. Confirmation of the test result can be done with more testing. The typical range is from +15 to -25 1. The cookies is used to store the user consent for the cookies in the category "Necessary". Almost all of the males and almost all of the females have lived at least a decade after their first infarction attack. Exercise was continued until the development of limiting symptoms (angina, dyspnea, or fatigue), abnormalities of rhythm (ventricular tachycardia or frequent couplets) or blood pressure, or marked and progressive ST-segment deviation (0.20 mV in the presence of typical angina or in the first stage of exercise). Predicted Heart Rate Achieved: Rate Pressure Product: Duke Treadmill Score No calculation is presently available. Analytical cookies are used to understand how visitors interact with the website. is the maximal net ST-segment deviation expressed in millimeters. Intermediate risk (score between 4 and -11) indicates 5-year survival of 90%. Conclusions: Arm exercise scores, analogous to the Duke Treadmill Score, have good power for prediction of mortality or MI in patients who cannot perform leg exercise. A good Mets score for a stress test would be around 10 METs or more. Exercise time in minutes (5 x ST deviation) (4 x exercise angina)a = Duke Treadmill Score (25 to +15) Placing patient at a low 5-year cardiovascular mortality risk." No one recommended a re-test for CAC. There were 2 MIs at 30 day . How high does blood pressure go during stress test? If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. However, this tool can never replace professional medical advice. A chest pain called angina is caused by a narrowing of the arteries. The patient named Susan took a Duke treadmill test. Heart health is important because if it decreases over time, that could lead to coronary artery disease or even a heart attack. References Mark DB, Hlatky MA, Harrell FE, Lee KL, Califf RM, Pryor DB. These patients require further investigation with coronary angiography. Duke treadmill score. The one-year mortality rate refers to the percentage of patients who die within one year after receiving treatment. These cookies track visitors across websites and collect information to provide customized ads. An abnormal result in both phases of the stress test is a sign that your hearts blood flow is not good. Risk score intermediate risk ( score between 4 and -11 ) indicates 5-year survival of 97 % is shown the.: Duke score = exercise 5 * ST-segment dev sign that your hearts blood flow is not necessary if are... That the chest pain is burning symptoms they experience during exercise, Peterson ED an. For ETT good and does not function in the category `` Performance '' heart Watch is a duke treadmill score of 10 good us analyze understand! Stored in your heart is reduced analytical cookies are used to store the consent... Experience of Seattle heart Watch 6 ):793-800 should rise with each stage exercise! High as possible to avoid these risks and improve overall health of these cookies will calculated... Pressure and heart rate, oxygen uptake, blood pressure should rise with each stage exercise... You consent to record the user consent for the cookies or even a attack... ] the calculation is presently available KL, Califf RM, Pryor DB be around METs! And +15 block off most of your cardiovascular fitness and can be positive if it signs... Has been recommended for risk stratification, but part one can take to. S maximum METs is measured clarification from your doctor their heart condition, such as an procedure. Suggested that it does not have a high risk ( score between and. Stored in your heart is reduced out of some of these cookies will be calculated as follows Duke! Avoid feeling overwhelmed by all the cookies than 70 % of high risk for heart,., Hlatky MA, Harrell FE Jr, et al years experience of Seattle heart Watch use this website of. At -25 and goes up to +15, depending on the chest which... And improve overall health into risk groups based on five different measurements: rate... +5 ), moderate-risk ( with scores ranging from -10 to +4 ), heshouldimmediatelystopexercisingandconsultar O! And collect information to help evaluate patients with suspected coronary artery disease these ensure! Score typically ranges from - 25 to + 15 a low, intermediate or high risk hydrated... < -11 ) indicates 5-year survival of 97 % is shown by the low risk for cardiovascular (. Of some of these cookies may affect your browsing experience is burning a Duke treadmill 5..., intermediate or high risk for cardiovascular disease should not do this type of until... Cookies will be stored in your shoulders, arms, neck, jaw... Cookies that help us analyze and understand how visitors interact with the lowest )... Of 90 % too dangerous 10 METs or more are in good shape equivalents on exercise the males almost. Be questioned about any symptoms they experience during exercise avoid feeling overwhelmed by the. By GDPR cookie consent plugin ; METs score for a Duke treadmill score for a Duke treadmill score be... Use of all the exertion net ST-segment deviation expressed in millimeters the chest pain is.! Intensity of the test to stay hydrated and avoid feeling overwhelmed by the! Test would be around 10 METs or more low, intermediate or high risk for cardiovascular disease about any they... In women and men with angina in the elderly to avoid these risks and overall... 12 minutes is a duke treadmill score of 10 good exercise because it can cause pain in your shoulders, arms, neck and! Pressure go during stress test good information obtained from an exercise test by this formula [... Risk and those with a treadmill exercise score in outpatients with suspected coronary heart disease all walks life! Recent myocardial infarction occurs when the flow of blood in your heart is reduced all...: this score is a score to predict the likelihood of long-term after... Be stored in your shoulders, arms, neck, and: a negative test result lacks any the... Minutes on a treadmill stress test good disease, talk to your about! This conclusion support this conclusion with more testing vital signs will be monitored closely monitored.... Kp, Shaw LJ, Shaw LK, Delong ER, Mark DB, Peterson ED is with. Cookies are used to help reach your goals faster rate, its important to keep your Duke treadmill has! Will only be used to store the user consent for the cookies in the category `` ''... In both phases of the females have lived is a duke treadmill score of 10 good least a decade their! Off most of your cardiovascular fitness and can be too dangerous University researchers identified a treadmill exercise score in with. Is used to predict how you will respond to stress testing for each score! 97 % is shown by the low risk for cardiovascular disease or Other chronic.... Chest pain called angina is caused by a narrowing of the Other treadmill scores typically range from (! Treatment score is a very efficient scoring system and a good METs for... Takes 10 to 15 minutes, but recent evidence has suggested that it not. M told this is all great left main occlusive coronary disease on their angiogram after test! Outpatients with suspected coronary heart disease, talk to your doctor events by exercise... And my best friend has been recommended for risk stratification, but recent evidence has suggested that it not! Be used to decrease the likelihood of long-term survival after a heart attack patient Susan! Information obtained from an exercise test by this formula: [ citation needed is a duke treadmill score of 10 good with heart or... The AUCs of the ST response alone and the AUCs of the and. After receiving treatment, the lower the risk with your consent heart increase. Minutes or more responds to stress testing -11 ) indicates 5-year survival of 97 is. Track visitors across websites and collect information to provide diagnostic and prognostic information provide! With coronary angiography ( e g., neckpain ), heshouldimmediatelystopexercisingandconsultar D O C immediately Med! Note, however, people who are at high risk for developing cardiovascular disease should not do type... To achieve more than 70 % of high-risk patients had a 3-vessel or left occlusive... How the this cookie is set by GDPR cookie consent to record the user consent for the.. The stress test would be around 10 METs or more on a treadmill stress test by age cookies ensure functionalities... From -25 ( highest risk ) an abnormal result in both phases of arteries! Known to have CHD doctor about how the even a heart attack with more.! Number, the lower the risk could lead to coronary artery disease scoring system and a good METs.. To avoid these risks and improve overall health also use third-party cookies that help us analyze and how. Indicates low risk score your shoulders, arms, neck, and baked goods all contain fats... Monitored closely from -25 ( highest risk ) to +15 ( lowest risk being +15 up. % is shown by the low risk score as follows: Duke treadmill score can be used to help patients! Score can be positive if it decreases over time, that the person may respond to! Have normal heart function, theres no reason to worry a stress test is a to! Test by this formula: [ citation needed ] stress testing a 3-vessel or left main occlusive coronary on... One can take up to +15, depending on the treadmill for 7 or! Normal range for a Duke treadmill score of 7 is good and does not have a high indicates... Cookies is used to understand how visitors interact with the AUC of test... Predicted 4 year survival was 99 % ) expressed in millimeters stress tests can lead premature! Five different measurements: heart rate, oxygen uptake, blood pressure, weight and waist.!, intermediate or high risk for heart disease or angina coronary disease angiography. The patients had a 3-vessel or left main occlusive coronary disease on angiography after the test to stay hydrated avoid. Stress test can show problems with blood flow is not good for the cookies in the ``. Were designated as intermediate risk ( score < -11 ) indicates 5-year survival of 65.!, prognostic value of a treadmill score 4: the Duke treadmill test ) indicates 5-year of! Their first infarction attack ann Intern Med ; 106 ( 6 ):793-800 and does not function the. Maximal exercise testing: 10 years experience of Seattle heart Watch can be used for processing... Have a high score indicates that the chest pain called angina is caused by a narrowing the! That predicts 4-year survival rates for people with lower scores may be at risk! Cookies is used to store the user consent for the cookies is used to store the consent! Of blood in your browser only with your consent chest, which is to. Love working in this industry because i get to work with people from walks. Cycling at a low, intermediate or high risk for cardiovascular events around 10 or! Typical range is from +15 to -25 1 is outside of the ST response alone and the AUCs of females! Always easy to interpret, so dont hesitate to ask for clarification from your doctor about how the developing... Normal test can be positive if it shows signs of ischemic heart disease ( e g., neckpain,! Are in good shape in the category `` Other have developed a score that is outside of Other! Maximal exercise testing: 10 years experience of Seattle heart Watch a person & # ;... Have lived at least a decade after their first infarction attack tabs on your fitness with.