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There are various pulse sites on the body: the carotid, brachial, radial, femoral, and dorsalis pedis. In children, heart rate is preferably taken apically. To count the rate, place stethoscope on the anterior chest at the fifth intercostal space in a midclavicular position. [18] Each "lub-dub" sound is one beat.
The pulse may vary due to exercise, fitness level, disease, emotions, and medications. [11] The pulse also varies with age. A newborn can have a heart rate of 100–160 bpm, an infant (0–5 months old) a heart rate of 90–150 bpm, and a toddler (6–12 months old) a heart rate of 80–140 bpm. [12]
[citation needed] The heart rate formula most often used for the Bruce is the Karvonen formula (below). A more accurate formula, offered in a study published in the journal, Medicine & Science in Sports & Exercise, is 206.9 - (0.67 x age) which can also be used to more accurately determine VO2 Max, but may produce significantly different results.
Heart rate recovery (HRR) is the reduction in heart rate at peak exercise and the rate as measured after a cool-down period of fixed duration. [56] A greater reduction in heart rate after exercise during the reference period is associated with a higher level of cardiac fitness. [57]
The height of the platform is 20 inches or 51 centimetres for men and 16 inches or 41 centimetres for women. The rate of 30 steps per minute must be sustained for five minutes or until exhaustion. To ensure the right speed, a metronome is used. Exhaustion is the point at which the subject cannot maintain the stepping rate for 15 seconds.
Cardiopulmonary exercise testing (CPET) with spirometry is the gold standard for determining VO 2 max. It requires the individual to perform exercise with analysis of gas exchange usually until maximal exertion is achieved. The use of electrocardiography is often used to examine heart response to exercise and exertion. [16]
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Some studies measure exercise intensity by having subjects perform exercise trials to determine peak power output, [4] which may be measured in watts, heart rate, or average cadence (cycling). This approach attempts to gauge overall workload. An informal method to determine optimal exercise intensity is the talk test.