Cardic concepts Flashcards
What is BMI
Measure of an adults weight in relation to their height calculated by weight in kg divided by the square of their height in meters
What is the number one killer in the US
Cardiovascular disease
Risk factors for CVD
Age Family history Smoking Hypertension Hyper cholestermia impaired fasting glucose obesity sedentary lifestyle
S&S of heart disease
Chest pain throat/jaw discomfort dismofort b/t shoulder blades radiating pain in L arm excessive sweating cyanosis SOB dizzy nausea
What is low risk
indiiduals who are asymptomatic and meet no more than one risk factor
what is moderate risk
those w/ 2 or more risk factors
what is high risk
Those w/ 1 or more signs/symptoms listed in or known cardiovascular, pulmonary, or meabolic disease
Interventions for CAD
Meds PTCA PTCA w/ stent CABG Valve replacement/reconstruction LVAD Transplant
What is phase 1 of cardiac rehab
inpt self care, early mob, edu 3-5 days phys reffered ins reimbursed
Phase II cardiac rehab
outpt increase endurance, strength, return towork, edu, risk factor intervention, telemetry monitoring BCBS-12 visits Medicare- 36 visits Phys reffered ins reimbursed
pahse III cardiac rehab
out pt increase endurance, strength ,edu, risk factor intervention, ongoin lifetime behavior unlimited visits phys referral not necessary self pay
What are components of an exercise prescription
frequency intensity duration/time mode/type volume progression (FITT-VP)
What is type/mode
any mode which utilizes the larger muscles of the body for a continuous period of time
What to consider in type/mode
tpe of intervention tolernace ad comfort muscular-skeletal limitations accessibility enjoyment
What to consider in intensity
METS
RPE
WHat is a met
metabolic equivalent
1 met= 3.5 ml kg
1 met= typical resting oxygen consumption
What is RPE based on
Heart rate responses number x 10
What rate is generally used for clinical population
11-13
What rate is generally used for the typical population
11-16
What is low VO2
What is moderate VO2
40-59%
What is high VO2
> 60%
What is the VO2 formula
[(VO2max-VO2rest) (%)] +VO2rest
What is the Karvonen formula
[(HR max- HR rest) (%)] + HR rest
What should you work up to for time
30 min of continuous or intermittent exercise
what to do for progression
gradual, typically increasing duration prior to intensity
What is obesity defined as
BMI of 30 or higher
