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Recent illness, hospitalization or surgical procedure

Heart attack, coronary bypass, cardiac surgery, stroke

Abnormal resting or stress ECG

Uneven, irregular, or slapped heart beats (including a racing or fluttering heart)

Abnormal blood lipids:

Family history of coronary or other atherosclerotic disease prior to age 55 male, 65 female

Diabetes Mellitus

High Blood Pressure

Phlebitis Emboli

Pulmonary disease (asthma, emphysema and bronchitis)

Rheumatic Fever

Light headedness or fainting

Chest pain at rest or exertion

Unusual shortness of breath

Orthopedic problems (arthritis or any other bone, joint or muscle problems)

Emotional disorders

Medications

Drug allergies

Smoking

Physical inactivity

Recommendations/Health Status Classification

Medical clearance

Max stress test and medical clearance

Refer to medically supervised program

Apparently healthy

Increased risk

Known Disease

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