Cardiac Rehab/HR Formulas; Karvonen

Question 1

How to Calculate Age Predicted HR Max?

Answer 1

220 - Age

Question 2

When to use Karvonen Formula?

Answer 2

• Resting HR is known
• A range of HR max is asked for

Question 3

How to Calculate using the Karvonen Formula?

Answer 3

(Heart Rate Reserve x % of Intensity) + Resting HR

Question 4

How to Calculate Heart Rate Reserve?

Answer 4

HRmax - HRrest

Question 5

What is an appropriate initial exercise prescription for an asymptomatic individual coming in for general deconditioning?

Answer 5

60-80% of HRmax

Question 6

What setting is Phase I of Cardiac Rehab in? What must precede the initiation of this phase?

Answer 6

Inpatient; initiated after 24 hours of being stable

Question 7

Can resistance training be utilized in stage I of cardiac Rehab?

Answer 7

NO!

Question 8

FITT Principle for Phase I of Cardiac Rehab? Frequency

Answer 8

F: Short Session; 2 - 3 times a day

Question 9

FITT Principle for Phase I of Cardiac Rehab? Intensity?

Answer 9

50-70% HRmax

Question 10

FITT Principle for Phase I of Cardiac Rehab? Time/Duration

Answer 10

10-15 minutes

Question 11

FITT Principle for Phase I of Cardiac Rehab? Type/Mode

Answer 11

• ADLs
• Supervised Ambulation

Question 12

What setting is Phase II of Cardiac Rehab in? Typical Duration Passed Prior to Starting?

Answer 12

Outpatient; 4-6 weeks after MI

Question 13

FITT Principle for Phase II of Cardiac Rehab? Frequency

Answer 13

2-3 Sessions/Week

Question 14

FITT Principle for Phase II of Cardiac Rehab? Intensity

Answer 14

70 - 85% of peak (HRmax)

Question 15

FITT Principle for Phase II of Cardiac Rehab? Time/Duration

Answer 15

30-60 minutes with 5-10 minutes of warm up and cool down

Question 16

FITT Principle for Phase II of Cardiac Rehab? Type/Mode

Answer 16

Single mode of training (walking)

or

Multiple modes (treadmill, cycle, ergometer)

Question 17

What can be implemented for Phase III of Cardiac Rehab?

Answer 17

Begin the implementation of strength/resistance training

Question 18

Best place to start resistance training in Phase III? Progression

Answer 18

• Elastic bands and light hand weight (1-3 lbs)

Progression :

• Moderate Loads
• 12-15 Reps

Question 19

For initiation of Cardiac Rehab Stage II is the use of inclined treadmill recommended?

Answer 19

Initially no (early phase), addition of incline as a progression.

Question 20

What is Phase IV of Cardiac Rehab?

Answer 20

Maintenance Period/Phase

Question 21

Location where Phase IV is held?

Answer 21

• Community Center
• Clinical Facilities
• YMCA

Question 22

A patient must be physiologically stable in what areas to participate in Exercise during Stage IV?

Answer 22

• Clinically Stable Angina
• Medically Controlled Arrhythmias

Question 23

Progression during Stage IV? Intensity, Frequency, Duration.

Answer 23

• 50-85% of Functional Capacity
• 3-4/week
• 45 minutes or more per session

Question 24

Exercise Tolerance Tests can be Either Submax or Maximal? When is a submaximal test used?

Answer 24

Evaluate early recovery of patients post:

• MI
• Coronary Bypass
• Coronary Angioplasty

Question 25

What enzyme is diagnostic for MI?

Answer 25

Elevation of Creatine Kinase, secondary to myocardial damage

Question 26

Minimum amount of METs needed to complete ADLs?

Answer 26

5 METs

Question 27

With resistance training what should maneuver should be avoided?

Answer 27

Avoid utilizing Valsalva Maneuver