CP Exam 3: Outpatient Cardiac Rehab

Question 1

What is cardiac rehab?

Answer 1

a comprehensive exercise, education and behavior modification program designed to improve physical and emotional condition of patients with heart disease

Question 2

What are mortality benefits from cardiac rehab?

Answer 2

20-30% in all cause mortality rates

decreased mortality post 5 years participation

reduction in non fatal MI post 12 months

reduced hospitalization and use of med resources

Question 3

What are other benefits from cardiac rehab?

Answer 3

reduces sx, imporved adherence with meds, increased exercise performance, improved health related QOL

Question 4

What is cardiac rehab considered by the AHA?

Answer 4

Class 1A recommendation

Question 5

What makes you eligible for CR?

Answer 5

MI/ACS, CABG, PCI (angio/stent), stable angina, heart replacement, HF (EV = 35%), lung transplant

Question 6

What are other conditions insurers might also allow?

Answer 6

PAD, HF, cardiomyopathy

Question 7

What are the cardiac rehab phases?

Answer 7

1. inpatient
2. early outpatient -first 3-6 months after event can last up to a year

3-4. long term- rest of pt life

Question 8

What are major components of cardiac rehab?

Answer 8

Patient assessment, nutrition, weight, BP, lipid and diabetes management, tobacco cessation, psychological, physical activity and exercise plan

Question 9

What are desired outcomes for BP management?

Answer 9

1. less than 140/90 for HTN pts
2. less than 130/80 for DM, HF, CKD
3. less then 120/80 for systolic dysfxn

Question 10

What are outcome goals for lipid management?

Answer 10

TC under 200
LDL under 100 or under 70 for high risk pts
HDL under 40 (male), 50 (female)
Trig under 150

Question 11

What are outcome goals for DM?

Answer 11

FPG 90-130

HbA1C under 7%

reduces hyper/hypo episodes

Question 12

What are components of exercise tolerance test?

Answer 12

1. Assess for ischemia- anginal sx, ST changes, abnormal HD response
2. Determine AC- peak Vo2 and Met levels, reason for test termination

Question 13

What is usual exercise prescription?

Answer 13

M: aerobic and resistance training

I: RPE 11-13, HR/BP/RPP parameters

D: 30-60 mins continuously including warm up and cool down, if intermittent then 30 min total a day

F: A-5x/wk, S- 2-3x/wk