Updated 8/10/13 SKF
Case Study Ms. McAdams: 65-year-old woman referred to community-based cardiac
rehabilitation. Although asymptomatic, she is obese, has HTN, and elevated FPG. Eight years
prior, she fell during a hiking trip and now has chronic knee pain due to arthritis which has led to
her sedentary lifestyle. She wishes to begin an exercise program that will assist her in losing
weight and decreasing her risk for CVD.
CLINICAL DATA
Resting HR (bpm)
Resting BP (mmHg)
Physical exam
Medication
RISK FACTOR DATA
Family History
Smoking
Lipids (ml/dL)
FPG (mg/dL)
Weight (lbs)
Height (in)
PA status
Occupation
GXT DATA
Protocol (time)
Peak VO2 (ml/kg/min)
Sit-to-stand (sec)
VALUE / MEASUREMENT
80
160/90
Tender knees, notable crepitus, decreased ROM
None
Unknown
Never
TC: 198
LDL: 102
HDL: 64
TRG: 135
126
170
63
None within last 5-8 years
Retired
Modified Bruce (8:30)
24.3
31.3
Aerobic Area: treadmills, monarch bicycles, arm ergometers, schwin airdynes, stair masters, stair steppers, rowing machines,
swimming pool for lap swimming, recumbent bicycles, indoor track, aerobics classes and wall climbers
Muscular Area: bench press, leg curl, ankle flexion, shoulder press, back extension, bent-over-rowing, leg press, squat, heel
raise, hip extension, lateral pull, upright rowing, shoulder shrug, forearm curls, chest butterfly, leg extension, arm extension,
incline shoulder press, sit up board, leg ab/ad-ductor; cable machines, modified pull-up machine, dumbbells, medicine balls, etc.