Current concept in the diagnosis, treatment and rehabilitation of patients with congestive heart failure

Table 2 Contraindications for exercise training and screening for increased risk for exercise training (data from[110])

Contraindications to exercise training	Increased risk for exercise training
Progressive worsening of exercise tolerance or dyspnea at rest over previous 3–5 d	> 1.8 kg increase in body mass over the previous 1-3 d
Significant ischemia during low-intensity exercise (< 2 METs, < 50 W)	Concurrent, continuous, or intermittent dobutamine therapy
Uncontrolled diabetes	Decrease in systolic blood pressure with exercise
Recent embolism	NYHA functional class IV
Thrombophlebitis	Complex ventricular arrhythmia at rest or appearing with exertion
	Supine resting heart rate > 100 b.p.m.
	Pre-existing co-morbidities limiting exercise tolerance

NYHA: New York Heart Association.