Your patient is in for their second 6 Minute Walk Test. You have received the following results. What is your interpretation of the current results
Scenario 3: Your patient is in for their second 6 Minute Walk Test. You have received the following results. What is your interpretation of the current results? Docusign Envelope ID: 8587FA80-CE97-4585-AF60-946067044542 Source Document Worksheet for STOP-ACEi 6MWT You can use this worksheet to help record the details of the 6MWT. NB Only the details on the study CRFs are required for the trial, but you can photocopy and use this for your source documents. Trial No.:||2 Assessment date: 03/08 20 Assessment point: Visit 1 (baseline) x Visit 5 (month 12) |Visit 9 (month 24) Visit 13 (month 36) People administering test: N.K Is lap length 60 m? No Yes x If no, lap length: m Clinical observations before test: HR: 82 e.g. BP, heart rate, participant fit to RR: 20 perform test etc. BP: 120/86 Sp02: 94% Test performed? No Yes x Reason not performed: where applicable Lap counts: 8 Distance of final partial lap: m Total distance walked: 480 m rounded to nearest metre 6 minutes completed? No Yes x If no, stopped after: min sec Reason for stopping prematurely where applicable Clinical observations after test: HR: 98 Sp02: 96% e.g. BP, angina, breathlessness etc. RR: 18 and unlabored Dyspnea Score: 2 BP 125/80 Walking aids and medications Patient did not use any aids in this test. used during the test e.g. cane, walker, oxygen, inhaler etc. Other notes: Last test patient used 2 Ipm NC, with resting HR 90-100, RR 20-22. Dyspnea scale 2-3 Signature: Date:COCO STOP-ACEi Guidelines for the 6 Minute Walk Test Version v1.0, 14 May 2014 EudraCT number, 2013-003798-82 Page 5 of 5
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