Cardiac Rehab Flashcards
What is Phase 1 of Cardiac Rehab?
Monitoring stage
When patient is medically stable
Patient education, hemodynamic and ECG monitoring
What is Phase 2 of Cardiac Rehab?
Conditioning stage
As early as 24 hrs after discharge up to 6 months
50-70 of HR max
What is Phase 3 of Cardiac Rehab?
Intensive rehab
~5-6 weeks after discharge
70-85% of HRmax
What is Phase 4 of Cardiac Rehab?
Maintenance/ Prevention stage
Lasts 6-12 months
Patient who are at high risk for infarction and patient who wish to continue under supervision of trained personnel
At what stage does Strength Training begin in Cardiac Rehab?
Phase 3
What are the guidelines for strength training for phase 3 cardiac rehab?
Begin with the use of elastic bands and light hand weights (1-3 lbs) or 30-50% of max weight used to complete 1RM
Begin with 8-10 reps, progress 12-15 reps
What should you have the patient avoid during phase 3 strength training during cardiac rehab?
Avoid upper extremity resistance as soft tissue is still healing
What is the FITT principle for phase 3 of cardiac rehab?
F: 2-3 sessions/week
I: 70-85% of HR max
T: 30-60 minutes w/ 5-10 min of warm up and cool down
T: Single mode of training (walking) or multiple modes (treadmil, cycle, ergometer)
What is the principle for phase 4 of cardiac rehab?
Patient can go to community centers, YMCA
Progression 50-85% of functional capacity, 3-4x/wk for 45 minutes
What are the weight reduction guidelines for obesity according to the FITT principle?
Frequency: Greater than 5 days/week to maximize caloric
expenditure
Intensity: Initially moderate – 40-60% V02, Progression to >60 %
Time: From 45-60 min/day
Type: Moderate exercise – Aerobic, resistance and flexibility
exercise
How many mins per week should someone exercise per week if their goal is weight reduction and is obese?
Minimum of 250-300 min/week is required
What are the FITT principle guidelines for phase 1 and 2 in cardiac rehab?
F - Short sessions 2-3 times a day
I - 50%-70% HR max
T - 10-15 mins (phase I) and 30 mins (phase II) per session
T - ADLs, supervised ambulation
Exercise termination criteria for exercise hypertension?
SBP >200 mmHg
DBP >110 mmHg or until controlled
Exercise termination criteria for systolic hypotension?
> 20 mmHg drop from upright resting SBP
Exercise termination criteria for unusual heart rate response?
- Too rapid increase in HR
- Failure to increase in HR
- Decrease in HR with increased exercise intensity/ duration
