JTA: D - g

JTA: D - g

• Heart rate, blood pressure and RPE monitoring techniques before,
• during, and after cardiorespiratory fitness testing.

BEFORE

• Blood pressure
• Typically assessed using brachial artery auscultation.
• Refer to JTA D - b for proper technique for taking resting blood pressure.
• RPE: Rate of Perceived Exertion
• "How hard you feel you are working."
• Memory procedure -- most common form of RPE anchoring
• Category-Ratio scales: Borg's CR-10 -- 0-10
• Borg's RPE Scale: 6-20

BEFORE

• All values should be taken after having the client in a seated position for roughly 5 minutes to ensure values are resting levels.
• Patients should avoid smoking cigarettes or ingesting caffeine for at least 30 minutes before the measurements are taken.
• Heart rate
• Taken by the radial pulse palpitations, carotid pulse palpitations, auscultation with a stethoscope, or using a HR monitor.
• Bradycardia: <60 bpm
• Tachycardia: >100 bpm
• Based on beats per minute.
• If using pulse palpitations, the pulse should be counted for at least 15 seconds.
• Multiply the 15-sec pulse count by 4 to get beats per minute.
• <15 seconds can reduce accuracy.
• Palpitation of the radial artery is preferred over carotid during exercise due to the activation of the carotid baroreceptors which can reduce HR.

DURING

• Each measurement should be taken during each stage and each exercise intensity.
• Heart rate & Blood pressure -- Assessed during the last minute of each stage.
• The EP-C need to make sure the client's arm is relaxed.
• The arm needs to be at heart level.
• The client should not be touching the equipment
• *2-finger rule at most.

AFTER

• Blood pressure and heart rate should be monitored for at least 5 minutes of recovery or until both are stable.
• Heart rate --Should decrease by roughly 10 bpm during the first minute and then 22 bpm in the second minute of recovery.
• If this response has not occurred, then the client may need an extended recovery time or lower the speed of the
• treadmill (if using).
• RPE -- Continually monitored throughout. Checking for signs and symptoms as well.