Good to see some gyms doing a clinical assessment and asking for #cardiacfitness before enrolling people. 28y guy with a family history of premature Coronary artery disease. Detected to have high BP. Overweight by 12-15kg. A basic clinical check can reveal so much information! 
In such a patient assessing overall cardiac risk and controlling blood pressure before allowing him to exercise is crucial. In the absence of a pre-enrollment check if any cardiac event like heart attack happens, people will be quick to blame #exercise as the culprit!
Most people who develop a heart attack or cardiac arrest while exercising have a pre existing cardiac condition which has not been diagnosed. So it is critical to screen people before letting them join the gym. Also depends on how intense the training will be.
here's a good video on pre exercise screening
acrobat.adobe.com/link/review?ur… a nice screening tool
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