ABPTS CCS Practice Questions - Board-Certified Clinical Specialist In Cardiovascular And Pulmonary Physical Therapy Exam

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A patient with HFrEF is taking carvedilol 25 mg BID, lisinopril 20 mg daily, furosemide 40 mg daily, and spironolactone 25 mg daily. During exercise testing, peak HR is 96 bpm at maximal RPE. Which interpretation is most accurate?

Chronotropic incompetence indicates the patient should not exercise Peak HR is blunted by beta-blockade; use RPE rather than HR for prescription The patient has not exerted maximal effort and the test is invalid Carvedilol should be held before subsequent sessions to allow accurate HR response

Correct Answer:

Peak HR is blunted by beta-blockade; use RPE rather than HR for prescription

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