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NPTE Clinical Files | Physical Therapy

Atrial Fibrillation / PT Considerations

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 18 June 2025

⏱️ 8 minutes

🧾️ Download transcript

Summary

Jafar has a history of atrial fibrillation and reports occasional fatigue and palpitations. His resting heart rate is 96 bpm and irregular, and he takes a beta-blocker. During a six-minute walk test, he experiences mild shortness of breath but completes the test without difficulty. Which consideration is MOST important when developing this patient’s exercise program?

A) Monitor for a target heart rate based on age-predicted max heart rate

B) Use a perceived exertion scale to guide exercise intensity

C) Avoid aerobic exercise due to the risk of arrhythmias

D) Encourage high-intensity intervals to improve cardiovascular function

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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.4

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,

0:51.7

you're in the right place.

0:53.3

Enjoy the show.

0:56.5

For this week's clinical file, we have Jafar, and Jafar has a history of atrial fibrillation and reports occasional

1:02.4

fatigue and palpitations. His heart rate is 96 beats per minute and irregular, and he takes

1:09.7

a beta blocker. During a six-minute walk test,

1:13.4

he experiences mild shortness of breath, but completes the test without difficulty. Which

1:18.5

consideration is most important when developing this patient's exercise program? So we have

1:23.9

A, monitor for a target heart rate based on age predicted max heart rate.

1:29.8

B, use a perceived exertion scale to guide exercise intensity.

1:36.2

C, avoid aerobic exercise due to the risk of arrhythmias.

1:41.5

And D is encourage high intensity intervals to improve cardiovascular function.

1:47.5

All right. Let's go up to the top of this question. We're just going to go ahead, dive in,

1:51.9

and knock this one out. Jafar has a history of atrial fibrillation and reports occasional fatigue

2:00.3

and palpitations. If we just slow up for a moment,

...

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