Which of the following factors would classify an athlete as requiring special monitoring during high-intensity training?
Practise this ACSM EP Exercise Phys Prep question free, then download the PDF, watch the video walkthrough, or unlock timed mock exams for the full web bank.
ANo significant drop in blood pressure during exercise
BNormal heart rate variability
CMaximal functional capacity of at least 6.0 METs
DSignificant silent ischemia
✓ Correct answer: D. Significant silent ischemiaAnswer: Significant silent ischemia Athletes with significant silent ischemia are at a high risk for cardiac events during high-intensity training. Silent ischemia represents heart muscle ischemia without accompanying symptoms, making it especially dangerous. Similarly to clients in general health assessments, athletes need careful screening to minimize the risk of severe cardiac events. Key factors indicating high risk include: Risk Factor Left ventricular ejection fraction < 40% Survivor of cardiac arrest or sudden death Complex ventricular dysrhythmias MI or cardiac surgery complicated by cardiogenic shock Abnormal hemodynamics with exercise Significant silent ischemia Symptoms of angina pectoris, dizziness, light-headedness, or dyspnea at low levels of exercise Maximal functional capacity of less than 5.0 METs Clinically significant depression or depressive symptoms The other options mentioned generally indicate low to normal risk and do not warrant special monitoring.
Keep practising. Use the free ACSM EP Exercise Phys Prep PDF, watch the YouTube walkthrough, or unlock all 10 web questions with timed mock exams.
Free practice here. Timed mocks when you are ready.
Study the ACSM EP Exercise Phys Prep free question explanations, download the PDF, then unlock timed mock exams on the web when you want exam-day practice.
Theory