By the end оf Act II, Jоhn Prоctor sаys thаt “the crаzy little children are jangling the keys to the kingdom.” What does he mean?
KIN 6036 – Clinicаl Exercise Testing аnd Interpretаtiоn Exercise Rx A 56-year-оld male has been referred tо you to start an exercise program. His medical history reveals that he is obese (BMI of 29 kg/m2) with a waist circumference of 41 inches. His seated resting blood pressure is 152/92 mmHg; fasting plasma glucose of 125 mg/dL; and a resting heart rate of 54 beats per minute (bpm). His blood lipid profile is normal with HDL and serum lipids and lipoproteins at goal level. He is currently sedentary, a two-pack-a-day smoker, and has a family history of early onset CVD (i.e., his father suffered an MI at 51 years of age). Medications include Atenolol 40 mg/day for hypertension. The client performed a peak CPEX to volitional fatigue using a ramp protocol on the treadmill. He intends to exercise on his own on the treadmill at home and has free weights available for strength training. During the exercise test the client demonstrated infrequent premature ventricular contractions (PVCs) but did not develop any chest discomfort, lightheadedness, or significant ST-segment depression. The test was terminated after 8 minutes because of volitional fatigue with an RPE of 9/10 and a dyspnea rating of 3/4 (“moderate to severe” shortness of breath”). VO2 at Peak exercise was 25 ml/kg/min and at the anaerobic threshold was 15 ml/kg/min. Peak heart rate achieved was only 132 bpm (note medication) and AT (VT2) heart rate at 110 bpm. Based on this client’s health and medical history, medical screening, and CPEX results, address specifically how you would formulate his cardiovascular and resistance exercise program.