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March 2021 Br J Cardiol 2021;28:29–32 doi:10.5837/bjc.2021.013

ECG changes during ISWTs in adult patients commencing CR: a retrospective case note review

Alexandra Palma, Charlotte Pereira, Heather Probert, Harriet Shannon

Abstract

Introduction Completion of a functional capacity test before cardiac rehabilitation (CR) is one of the British Association for Cardiovascular Prevention and Rehabilitation (BACPR) Standards.1 The incremental shuttle walk test (ISWT) is an externally paced submaximal walking test with strong reliability, test–retest reliability, validity and responsiveness in cardiac populations.2,3 It is a test that is widely used to inform both risk stratification for cardiovascular events during CR, and for exercise prescription. The use of an electrocardiogram (ECG) to monitor the safety of the ISWT (indicated by the absence of major ECG changes) has not

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