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Cardiac Exercise Physiologist

Exercise Physiologists
Description
Assess, prescribe, and supervise evidence-based exercise and lifestyle programs for patients with cardiovascular disease, using ECG and hemodynamic monitoring to improve cardiorespiratory function, reduce risk, and support cardiac rehabilitation.
  • • Conduct cardiac stress tests with ECG monitoring and blood pressure assessment.
  • • Demonstrate safe use of equipment and cardiac-specific exercise techniques.
  • • Develop individualized cardiac rehab exercise prescriptions per AACVPR/ACSM guidelines and regulatory requirements.
  • • Explain cardiac rehab plans and diagnostic testing procedures to patients and families.
  • • Interpret ECG, vital signs, RPE, and functional data to adjust exercise plans.
  • • Assess body composition, weight, and waist circumference to support risk reduction.
  • • Measure VO2 and pulmonary function when indicated (CPET/spirometry).
  • • Perform or coordinate point-of-care tests for lipids and glucose.
  • • Prescribe individualized aerobic and resistance training with hemodynamic targets using treadmills, cycles, and ergometers.
  • • Provide continuous clinical oversight during exercise for low- to high-risk cardiac patients.
  • • Coach patients on daily physical activity, sedentary reduction, and cardiac-safe progression.
  • • Deliver patient education on heart-healthy exercise, diet, medications, and risk-factor management.
  • • Conduct functional capacity evaluations (e.g., 6MWT, MET assessment) to inform cardiac rehab plans.
  • • Calibrate and quality-check ECG systems, blood pressure monitors, metabolic carts, and exercise equipment.
  • • Educate patients on heart rate monitoring, perceived exertion, symptom recognition, hydration, and training limits.
  • • Evaluate staff competency in supervised cardiac exercise sessions and testing.
  • • Obtain cardiac history, medications, contraindications, and patient goals; perform risk stratification.
  • • Train and mentor staff in cardiac monitoring, emergency response, and exercise leadership.
  • • Recommend or coordinate cardiac diagnostics (stress tests, Holter monitoring, CPET) with providers.
  • • Plan or contribute to cardiac rehabilitation or prevention research and quality improvement projects.
  • • Document patient progress in the EMR and communicate with cardiologists, nurses, and case managers.
  • • Provide emergency response for arrhythmias, angina, hypotension, or other exercise-induced events; follow ACLS/BLS protocols.
  • • Supervise maintenance and safety checks of cardiac rehab and testing equipment.
  • • Teach behavior change strategies for stress management, weight control, smoking cessation, and medication adherence.
  • • Lead group-based cardiac rehab sessions across risk levels to improve aerobic capacity, strength, and circulation.
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Source
Tasks & skills: O*NET occupational data (work activities, skills, knowledge). Learn more
Sources & Standards: This site includes information from O*NET by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. Career Clutch has modified some of this information for student readability. USDOL/ETA has not approved, endorsed, or tested these modifications. O*NET® is a trademark of USDOL/ETA.
Last reviewed: Jan 2026
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