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Part 1 Anatomical and physiological considerations - effects of aging and cardiovascular disease: structural changes in the heart; systolic and diastolic function; peripheral vasculature; conduction system and electrocardiogram; maximal oxygen uptake; heart rate and blood pressure; pulmonary system; nervous system; metabolism; muscle and bone. Part 2 Exercise testing: methodology; interpretation of results; radionuclide evaluations. Part 3 Exercise prescription: entering the program; determining the exercise prescriptions; additional considerations for the exercise prescription; the impact of medication; resistance training; home exercise. Part 4 Training adaptations: responses to training in the healthy elderly; responses to training in the elderly cardiac patient. Part 5 Characteristics of participants in outpatient exercise training: risk factors; descriptive characteristics and risk factors in elderly cardiac rehabilitation outpatients; special populations within the elderly. Part 6 Program design considerations: risk stratification; safety, attendance and compliance; economic considerations; exercise programming; quality of life. Appendices: warm-up, stretching and flexibility exercises; home exercises program log book.