Clinical Research Directory

Inclusion Criteria: * Aged \>60 years * Scheduled for pre-surgical evaluation for moderate to high-risk surgical procedure. * RCRI \<2 based on screening of preoperative co-morbidities. * Provision of signed and dated informed consent form Exclusion Criteria: 1. Age \<60 years old 2. Subjective METS \<4 3. Inability to give independent informed consent 4. Revised Cardiac Risk Index (RCRI) \>2 5. Neurological impairment with motor limitations 6. Mental impairment leading to inability to cooperate 7. Recent NSTEMI or STEMI type myocardial infarction (within 6 months) 8. Angina (stable or unstable, within 6 months) 9. Uncorrected severe valvular heart disease (severe aortic, tricuspid, or mitral stenosis) 10. Recent exacerbation of congestive heart failure (requiring hospitalization, within 6 months) 11. Acute pulmonary embolism or deep vein thrombosis (within past 6 months) 12. Uncontrolled pulmonary edema 13. Uncontrolled symptomatic arrhythmias 14. Active endocarditis 15. Acute myocarditis or pericarditis 16. Active wheezing or home oxygen use 17. Recent exacerbation of chronic obstructive pulmonary disease or asthma or pneumonia (requiring hospitalization, within 6 months) 18. Inability to perform components of the SHAPE test (severe hip flexion limitation, severe osteoarthritis of knee or hip, limb immobilization, ambulation with a walker, can or crutches, baseline balance irregularities 19. Diagnosis of vertigo 20. Known allergic reactions to components of the SHAPE medical system apparatus disposable mouthpiece. 21. Active enrollment in an interventional clinical trial within the enrollment period of the study.