cardiac rehab

Question 1

cardiac rehab is very specific for who is/isnt a valid candidate. A pt who does qualify would be someone post-:
CABG, post-percutaneous c. intervention, heart valve surgery, heart/lung transplant, and (3)

Answer 1

MI (within a year)
chronic STABLE angina
comp HFrEF<35% (within 6 wk)

recent push for oncology pts !

Question 2

cardiac rehab is very specific for who is/isnt a valid candidate. A pt who does not qualify would be someone with an active infection, conduction abnormalities, serious arrhythmia, and ___(4)

(hint: think stability)

Answer 2

unstable angina
hemodynamically unstable
resting ST depression
uncontrolled DM

Question 3

describe the ~ 5 phases of cardiac rehab and where they occur.

Answer 3

1. acute/inpt
   “~1.5. “ home health
2. subacute/ rehab and conditioning- shortly after d/c
3. trainining/intensive: outpt
4. maintenence: community

Question 4

in what phase of cardiac rehab might we observe a decreased dependence on ECG monitoring? About how many sessions are in this phase?

Answer 4

phase 2; 36-72 sessions

Question 5

Pt’s ___ , HR, BP and EKG are assessed at what frequency during phase 1?

Answer 5

subjective feelings; 3-5x/min

Question 6

A facility may have a policy for phase 1 treatment advising pts stay <120bpm/<20-30 bpm increase in exertion. What other general recs are there for treatment?

Answer 6

warm up/cool down!
short durations, multiple times in the day
education for ALL

Question 7

When do you absolutely STOP treatment with a phase 1 pt?

Answer 7

any signs of decreased oxygen/BP (SOB, color change, confusion, dizzines, fatigue,etc),
EKG abnormalities,
angina
pt choice

Question 8

describe the goals of week 2-12 (cardiac phase 1) in terms of METS

Answer 8

• Perform 3-5 METS or 2.0 - 3.0 mph for 30 min

17 ml/kg min or 5 MET defines disability and energy expenditure needed to complete ADL

Question 9

when establishing appropriate intensity for phase 2 pts , we want to look out for exersise red flags (see ex guidelines set) , severe claudication, arrythmias >____min and BP parameters of__

Answer 9

6; SBP>240, DP>110

Question 10

Resistance training in phase 2 should be performed at ___% of 1RM for ____muscle groups.

Answer 10

30-50%; large

Question 11

approx when would we start resistance training for the following conditions?
PCTA/Stent:
MI
CABG

Answer 11

2 weeks
5 weeks
8 weeks