Contraindications to CPX in CHF

Some conditions remain contraindications to exercise testing in CHF: very recent myocardial infarction, unstable angina, severe ventricular arrhythmias, symptomatic hypotension, and mobile intracardiac thrombus. Caution is warranted if there is severe pulmonary hypertension, aortic stenosis, or hypertrophic cardiomyopathy, although exercise testing is increasingly being used in these conditions. Left bundle branch block remains a contraindication unless coronarogra-phy is known to be normal. Heart failure per se clearly is no longer a contraindication but CPX has little value when done very recently after an acute decompensation or prolonged bedrest.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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