The Talk Test (TT) has: been shown to be associated with intensities within ACSMguidelines for exercise training, and very close to the ventilatory threshold (VT). VToften precedes the ECG ischemic threshold (Eur Heart J 1995;16:623), and complicationsduring exercise occur when the ischemic threshold is exceeded. Therefore, the TT maybe an effective way to avoid myocardial ischemia during exercise training. Patientsrecited a standard paragraph during incremental exercise. The time, HR, and RPP ofthose demonstrating ST changes (the first evidence of ischemia (ISCH)) were comparedto the 3 stages of the TT (I can speak comfortably = + TT, I;;m not sure = +/- TT, and Ican;;t speak comfortably = -TT).
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Relationship between the talk test and the ischemic threshold