Cardiac Rehabilitation And Exercise

Question 1

Patient groups Included In CR

Answer 1

♥Stable Angina
♥MI
♥Angioplasty (and Stent) 
♥Coronary Artery Bypass Graft (CABG)
♥Valve Repair ♥Congenital Repairs ♥Transplant
Heart failure

Question 2

Physiological Benefits

Answer 2

• Improvement in functional capacity.
• Improved cardiovascular efficiency.
• Reduction in atherogenic and thrombotic risk factors.
• Improvement in coronary blood flow, reduced myocardial ischaemia, and severity of atherosclerosis.
• Reduction in risk of cardiovascular disease mortality.

Question 3

Psychological Benefits

Answer 3

 Reduced anxiety and depression
 Enhanced mood
 Enhanced self-efficacy
 Restoration of self-confidence
 Decreased illness behaviour
 Increased social interaction
 Resumption of chores/hobbies
 Resumption of sexual activity
 Return to work/vocation

Question 4

Activity

Answer 4

is sporadic in nature and inconsistent in intensity. E.g. climbing the stairs.

Question 5

Exercise

Answer 5

is purposeful and sustained e.g. going for a walk.

Question 6

National recommendations

Answer 6

• At least 150 mins of moderate intensity exercise per week.
• Bouts of at least 10 mins.
• Strength activities twice a week.
• Balance / relaxation.
• Decrease time spent sitting.

Question 7

Type of exercise

Answer 7

• Walking (jogging if appropriate)
• cycling/ /exercise bike
• Swimming / water-based exercise
• Circuits / dvd
• Racket sports.
• Dancing.
• Gardening.

Question 8

Activities

Answer 8

• Stairs instead of lift.
• Walk to next bus stop.
• Park further from the supermarket. • Bowls.
• Housework.
• Gardening.

Question 9

Barriers to Exercise

Answer 9

• Bad weather
• Too tired
• Not in the mood •Don’t know how to •Can’t afford it
• Fear
• Don’t have time

Question 10

Goals should be SMART

Answer 10

•Specific •Measurable •Achievable •Realistic •Time based

Question 11

Warm Up

Answer 11

• 15 minutes duration
• ‘The purpose of the warm up is to prepare the muscular, nervous, cardiac, respiratory and vascular systems for the main work out.’ Thow, 2006.
• Stretches are still included in our warm up.

Question 12

Conditioning Phase

Answer 12

• 20 minutes duration
• Circuit based exercise
• BORG 13-14
• Comfortably short of breath, “TALK”

Question 13

Cool Down

Answer 13

• 10 minutes duration

* pulse lowering exercises, which aim to reduce the heart rate and blood pressure gradually.

Question 14

FITT Principle of Exercise

Answer 14

• Frequency • Intensity
• Time
• Type