Can Fam Physician. 1988 Jan;34:119-21.
The cost of health care continues to rise as we deal with changes in the natural history of disease and deploy increasingly advanced medical technology for diagnosis and treatment. A different focus must be established if we are to control both disease and our health-care budget. One area of promise is preventive medicine. Improved fitness through exercise is one component in this approach, and increasing numbers of the general public are choosing this positive lifestyle change. Patients are seeking the advice and blessing of the primary-care physician before engaging in physical activity. In order to prescribe safe exercise, physicians must be able to screen individuals for possible contraindications and to evaluate their current fitness levels. This article describes a comprehensive cardiovascular system screen, including history, physical, lab work, and fitness appraisal, and reviews the current recommendations for treadmill stress testing.
随着我们应对疾病自然史的变化并部署越来越先进的医学技术进行诊断和治疗，医疗保健成本持续上升。如果我们要控制疾病和医疗保健预算，就必须建立一个不同的重点。有一个有希望的领域是预防医学。通过锻炼提高健康水平是这种方法的一个组成部分，越来越多的公众正在选择这种积极的生活方式的改变。患者在进行体育活动之前，会寻求初级保健医生的建议和认可。为了开出安全的运动处方，医生必须能够筛查出可能的禁忌症，并评估他们目前的健康水平。本文描述了一个全面的心血管系统筛查，包括病史、体检、实验室检查和体能评估，并回顾了跑步机压力测试的现行建议。
