Protocols

     A.   Types
          1.   Naughton - good for the average person, has steady
               increases
          2.   Ellestat - bigger jumps  
          3.   Catis
          4.   Balke - he is the father of treadmill protocols
               a.   3-4 MPH walking
          5.   Bruce - is a standard (considered useless by many)

STAGE     MPH       % GRADE        MINUTES / STAGE          METS 
 1        1.7         10                3                     4
 2        2.5         12                "                    6-7
 3        3.4         14                "                    8-9
 4        4.2         16                "                   15-16
 5        5.0         18                "                     21
 6        5.5         20                "         
 7        6.0         22                "                     
 

     B.   Test stuff
          1.   ** NEED TO MEMORIZE STAGES ONE THUR FIVE
               !!!!!!!!!!!
          2.   See the nomogram on page 26 to relate and compare
               the protocols
          3.   see the chart on page 20 for the protocols
               a.   get the general for each
               b.   speed constant, etc.
     C.   Learn why to stop the test
          1.   see page 21


     D.   Reasons to stop the test
          1.   Absolute
               a.   visual disturbances
               b.   confusion
               c.   Three or more premature ventricular
                    contractions
               d.   malfunctioning equipment
          2.   Relative
               a.   Less serious symptoms
                    (1)  dizziness
                    (2)  interclottitation (leg pain)
               b.   SBP increases less than 20 mm / Hg

     E.   look over page 13 and 14, the contraindications and the
          relative contraindications
          1.   do the benefits outweigh the risk