Treadmill Test Result

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TREADMILL TEST RESULT

Name :
Age :
Date of Examination :

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Ischemic response : Negative Positive

Blood pressure response : Normal Abnormal

Chronotropic response : Adequate Inadequate

Aerobic capacity : mets

Conclusion : ___________________________________________________________

___________________________________________________________

Suggestion : ___________________________________________________________

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Jakarta,

______________________________
Cardiologist

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