Exercise For CVD

Question 1

T/F MI targets people 25 years and up regardless of gender

Answer 1

False

Question 2

GOALS of Cardiac Rehab

Answer 2

1. Enable pts to resume active and productive lives within imposed limitations
2. Restoring optimal physiologic, psychosocial and vocational status
3. Prevent progression or reversal of disease
4. Reduction of risk of SD and reinfarction
5. Alleviation of sx
6. Pts responsible and autonomous for med tx and lifestyle changes

Question 3

T/F getting cardiac rehab doesnt mean you are cured and wont have relapse.

Answer 3

True- vital for improvement and return to PFS

Question 4

Is a patient with silent ischemia a good candidate for cardiac rehab?

Answer 4

Yes

Question 5

Does PAD respond well to exercise?

Answer 5

Yes

Question 6

What is risk stratification?

Answer 6

Change amt of stress working hour lifestyle diet

Cannot change gender fam hx, age

Question 7

Phase 1 cardiac rehab

Answer 7

In-pt
-ER visit, acute MI and in hospital for quick check, education and DC planning

3days

Question 8

Goal of phase 1 rehab?

Answer 8

GOAL: counteract deleterious Physio effects of bed rest and prevent “cardiac cripple” (pts afraid to do anything)

Question 9

Phase 1 exercise

Answer 9

Low level- PROM and AROM and progress to walking and stairs

Question 10

Phase II

Answer 10

Out -pt

3mo duration

Question 11

Goal of Phase II

Answer 11

Increase fxnal and CV efficiency
Monitored by telemetry

Individualized ex prescription

Question 12

Phase III

Answer 12

Supervised

4-6mo

Question 13

Goal of phase III

Answer 13

Decrease supervision of ex program and promote self regulation
No telemetry- monitor by HR

Question 14

Phase IV

Answer 14

Unsupervised
Lifetime
Maintain lifestyle changes

Question 15

It is better to have an MI when youre older than younger

Answer 15

True- you have more collaterals

Question 16

How much does your VO2max go up normally?

Answer 16

20% in 3 mo

Question 17

What is RPP?

Answer 17

Rate pressure product measure of stress put on cardiac muscle based on number of times it needs to beat per min (HR) and ABP that is pumping against SBP

Question 18

TF: percuntaneous coronary intervention has same effects as excessive and diet

Answer 18

False- ex and diet are superior

Question 19

What is contraindicated for cardiac rehab?

Answer 19

Slide 15

Question 20

TF. Unresolved CHF pts can be exercised

Answer 20

F

Question 21

RHR>100 can be exercised

Answer 21

F

Question 22

TF Pulm HTN cannot be exercised

Answer 22

TRUE

Question 23

TF mod-severe aortic stenosis CANNOT be exercised

Answer 23

False- this is a pxn

Question 24

TF Hg below 7 can be exercised

Answer 24

Check with MD

Question 25

Phase 1 early mob ex prescription

Answer 25

Eval
- cleared by MD
-contraind to phase I
Freq
-5-7 days per week
Duration
-15min BID
Intensity
-20 BAR for MI
-30 BAR for CABG
Term, go home and walk

Question 26

Phase II-III ex prescription

Answer 26

Cardiac stress test
-20-30 BAAR if no stress test
Labs
-SMA
-lipid
-CBC (hemoglobin)
-electrolytes (K,Ca)
PFT if pulm
Freq- 3-5/week 
Duration- 20-45 min aerobic

Question 27

Intensity for phase II and III

Answer 27

Start at 65% for phase 2, increase by 5% every month

75% for phase III up to 80%

If they never went , 20-30 BAR

Question 28

Intermittent training you should monitor ischemic signs during

Answer 28

Rest periods

Question 29

TF use both arm and leg modalities alternating to achieve higher intensity and less fatigue

Answer 29

True

Question 30

What does a stress test detect

Answer 30

Ischemic heart disease in healthy ppl

Question 31

In a stress test, diastolic should remain the same for all durations and systolic goes up with increased durations

Answer 31

True