This classification includes individuals with any of the following: |
1. Unstable ischemia. |
2. Severe and symptomatic valvular stenosis or regurgitation. |
3. Congenital heart disease; criteria for risk that would prohibit exercise conditioning in patients with congenital heart disease should be guided by the 27th Bethesda Conference recommendations. |
4. Heart failure that is not compensated. |
5. Uncontrolled arrhythmias. |
6. Other medical conditions that could be aggravated by exercise. |
Activity guidelines: |
1. No activity is recommended for conditioning purposes. |
2. Attention should be directed to treating the patient and restoring the patient to Class C or better. |
3. Daily activities must be prescribed on the basis of individual assessment by the patient's personal clinician. |
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