Position statement of the Argentine Federation of Cardiology, Exercise Cardiology Committee, on “Guidelines for the correct performance of the Graded Ergometric Test in adults”
DOI:
https://doi.org/10.63600/gxvbn242Keywords:
Graded ergometric test, Quality, EffortAbstract
The Graded Exercise Test (PEG) continues to play a significant role in cardiovascular assessment, both for its accessibility and its ability to integrate clinical, hemodynamic, and electrocardiographic information into a single procedure. In this Position Paper, we propose a framework for performing PEG in adults that prioritizes both the quality of the process and its technical execution, with team training, the environment, and patient preparation being fundamental to the outcome. Emphasis is placed on the rigorous acquisition and contextualized interpretation of clinical and physiological variables, avoiding isolated or automated readings. In this regard, the use of rigid thresholds—such as the percentage of theoretical maximum heart rate—to define the study's maximum is questioned, and an approach focused on symptom limitation and the patient's overall behavior during exertion and recovery is proposed.
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