Phase 2 - Center Based Outpatient Flashcards

1
Q

What is Phase II Cardiac Rehab and its duration?

A

Phase II Cardiac Rehab is a physician-supervised, multidisciplinary outpatient program focusing on exercise, risk factor modification, and outcomes assessment. It begins 1-3 weeks post-discharge and can last up to 12 weeks.

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2
Q

What diagnoses are accepted into Phase II Cardiac Rehab?

A

Accepted diagnoses include MI within 12 months, CABG, stable angina, PTCA, heart or lung transplant, heart valve surgery, stable chronic heart failure (EF ≤ 35%, NYHA class II-IV), and symptomatic PAD.

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3
Q

What is the purpose of an exercise test with ECG in Phase II?

A

It evaluates heart rate, rhythm, symptoms, ST-segment changes, exercise capacity, risk stratification, target HR, and initial exercise workload.

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4
Q

What are key examination components before starting formal physical activity in Phase II?

A

Medical history, CVD risk profile, BMI/waist-hip ratio, resting ECG/BP, lung auscultation, extremity palpation, and wound/orthopedic/neuromuscular assessments.

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5
Q

What are safety monitoring criteria for discontinuing exercise in Phase II?

A

Discontinue exercise if HR plateaus/decreases with increased work, SBP falls or >250 mmHg, DBP >115 mmHg, arrhythmia, ST-segment depression >1mm, heart block, ventricular dysrhythmias, or angina symptoms.

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6
Q

What are the components of a FITT-VP program for Phase II Cardiac Rehab?

A

Frequency, Intensity, Time, Type, Volume, and Progression tailored to the individual based on exercise testing, patient history, and response to interventions.

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7
Q

What is the initial exercise prescription for Phase II patients?

A

Start with warm-up, low-intensity aerobic training (40-60% HRR or RPE 9-13), and gradually increase duration and intensity based on tolerance and symptom monitoring.

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8
Q

What are progression strategies in Phase II Cardiac Rehab?

A

Increase duration by 5-10 minutes every 1-2 weeks and add intensity based on patient tolerance and medical clearance.

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9
Q

What are the key benefits of aerobic training in Phase II Cardiac Rehab?

A

Improved insulin sensitivity, lipid profiles, blood pressure, vascular function, autonomic function, and energy balance.

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10
Q

What considerations influence exercise prescription adjustments in Phase II?

A

Adjustments consider patient comorbidities, medications, orthopedic limitations, and subjective feedback on fatigue, pain, and exercise tolerance.

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