METs Equation:
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The METs (Metabolic Equivalents) equation estimates a patient's functional capacity based on exercise duration. It's commonly used in pre-operative care to assess cardiovascular risk.
The calculator uses the METs equation:
Where:
Explanation: The equation calculates metabolic equivalents based on the duration of exercise, with higher values indicating better functional capacity.
Details: METs assessment helps identify patients at increased perioperative cardiovascular risk. Patients with <4 METs have higher risk of complications.
Tips: Enter the exercise duration in minutes. The value must be greater than 0.
Q1: What are normal METs values?
A: Generally, >10 METs indicates excellent capacity, 7-10 good, 4-7 moderate, and <4 poor functional capacity.
Q2: How is exercise duration measured?
A: Typically measured as how long a patient can walk on a treadmill at a standardized protocol before becoming symptomatic.
Q3: What types of exercise can be used?
A: Treadmill testing is most common, but cycle ergometry or other standardized protocols can be used with appropriate conversion.
Q4: Are there limitations to this equation?
A: Accuracy may vary with different exercise protocols and patient populations. Clinical judgment should always be used.
Q5: How does this affect surgical planning?
A: Patients with <4 METs may need further cardiac evaluation or optimization before elective surgery.