Gen Med: Lecture 10- Cardiovascular Rehab Flashcards
What are the phases of Cardiac Rehab?
Phase 1: Inpatient
Phase 2: Outpatient
Phase 3: Maintenance
What are the goals of Phase 1 of Cardiac Rehab?
Offset bedrest
Monitor hemodynamic response
Identify impairments
Prepare patient and family for home progression
Recommendations for continued cardiac rehab
What is the typical hospital stay for a PCI?
24 hours
What is the typical hospital stay for an uncomplicated MI or a CABG?
Less than 5 days
What are the immediate effects of the healing process post MI?
ECG changes
What effects occur 12-48 hours post MI?
Cardiac enzyme changes
What effects occur 3 days to weeks post MI?
Removal of damaged myofibrils
What effects occur 3 weeks to months post MI?
Collagen bundles replace muscle tissue
Scar formation
What helps determine prognosis and rate of activity progression, supervision, and monitoring for cardiac patients?
AACVPR
What is the frequency for Phase 1 of Cardiac Rehab?
2-4 x per day (Atleast 1 x per day
What is the intensity of Phase 1 of Cardiac Rehab?
RPE less than or equal to 13
HRrest +20-30 bpm (Not on B Blockers)
HR > 120 bpm
What is the duration of treatment sessions for Phase 1 of cardiac rehab?
10-15 minute
3-5 minute bouts
frequent rest
2:1 exercise:rest
Include warm up and cool down
What types of activities should be done in Phase 1 of cardiac rehab?
Functional activities
Large muscle groups
What is progression of Phase 1 of cardiac rehab based on?
Individualized based on daily assessment
What is the frequency for Phase 2 of cardiac rehab?
At least 3 x per week
Ideally 5-7 x per week
What is the intensity for Phase 2 of cardiac rehab?
RPE 12-16
40-80% HRR
70-85% HRmax
Use HR at least 10 bpm below ischemic threshold
What duration should the treatment sessions be for Phase 2 of cardiac rehab?
20-60 minutes
Begin with short intervals and gradually increase
5-10 min warm up and cool down
What type of treatment should be used in Phase 2 of cardiac rehab?
Large muscle groups
Walking, cycling, functional activities
Make it fun
Implement daily lifestyle activities
What conditions is exercise testing useful for diagnosing?
CAD
What should the baseline MET level be for Phase 2 of cardiac rehab?
Based on estimate of baseline level of training
Likely 2-4 METs
