Which group of individuals does the ACC recommend undergo a stress EKG before starting an exercise program?

The American College of Cardiology (ACC) provides guidelines regarding exercise prescription, particularly for those at increased risk of cardiovascular events. Individuals who have a higher probability of developing cardiovascular issues due to age and existing risk factors typically benefit from a stress EKG before commencing an exercise program.

The recommendation to include both women over 50 and men over 40 with multiple cardiac risk factors is based on the understanding that these populations may have a higher risk of cardiovascular disease, and performing a stress EKG can assist in identifying any underlying issues before engaging in vigorous physical activity. This preventive measure aims to ensure that individuals can exercise safely, minimizing the risk of complications that could arise from undiagnosed cardiac conditions.

By considering both groups outlined in the options, the recommendation prioritizes the health and safety of individuals who may otherwise face increased risks, thereby supporting the recognition of varied risk profiles among different genders and age brackets. Thus, the comprehensive approach represented by the combined group reflects the ACC's emphasis on personalized and preventive cardiovascular care.