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Exercise Prescription

Exercise Prescription. Cardiac Rehabilitation. WHY EXERCISE?. Hypertension Dyslipidemia Smoking Obesity Diabetes Stress. Unstable angina systolic/diastolic hypertension orthostatic drop > 20mm Hg with symptoms critical aortic stenosis acute systemic illness or fever uncompensated CHF

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Exercise Prescription

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  1. Exercise Prescription Cardiac Rehabilitation

  2. WHY EXERCISE? • Hypertension • Dyslipidemia • Smoking • Obesity • Diabetes • Stress

  3. Unstable angina systolic/diastolic hypertension orthostatic drop > 20mm Hg with symptoms critical aortic stenosis acute systemic illness or fever uncompensated CHF active pericarditis, myocarditis recent embolism Uncontrolled atrial or ventricular arrhythmias uncontrolled sinus tachycardia > 120 bpm 3rd degree AV block resting ST displacement > 2 mm uncontrolled diabetes (BG > 15) severe orthopedic problems other acute metabolic problems CONTRAINDICATIONS TO EXERCISE

  4. Exerciseis Medicine “the art of exercise prescription is successful integration of exercise science with behavioural techniques that result in long-term program compliance and the attainment of the individual’s goal”

  5. Exercise Prescription Exercise is prescribed taking into account 4 different factors: • F-frequency-how often • I-intensity- using RPE scale or heart rate • T-type - aerobic exercise • T-time - number of minutes per session

  6. RPE scaleRate of Perceived Exertion • 6 • 7 very,very light • 8 • 9 very light • 10 • 11 fairly light • 12 • 13 somewhat hard • 14 • 15 hard • 16 • 17very hard • 18 • 19 very,very, hard

  7. Exercise PrescriptionPost Discharge • Frequency - every day, once or twice • Intensity - easy, comfortable pace • Type - walking • Time- start at 5 minutes and increase by 5 minutes per week if tolerated

  8. Exercise PrescriptionRecovery Program • - every day • - 10-30 beats above resting heart rate or RPE between 11 and 13 • - walking, cycling, arm ergometer • - increasing by 5 minutes per week to 30 to 40 minutes of exercise

  9. Exercise PrescriptionMaintenance • - 5 to 6 times per week • - moderate intensity, 11-13 on the RPE scale, talk test – best values obtained from a stress test: 60%-80% of heart rate reserve (Karvonen’s Equation) • - walking, jogging, cycling, swimming, paddling, rowing, cross country skiing, snowshoeing,skating • - 30 -60 minutes

  10. Resistance Training Light weight training for muscle endurance is appropriate for cardiac patients: • 3 months post event • start with light weights and increase gradually • does not replace an aerobic workout • increases muscle tone and maintains mass to maintain muscular power

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