Rehab

Question 1

Number of stages

Answer 1

4

Question 2

Stage 1

Answer 2

Inpatient
5-7 days
Stableisation education mobilisation discharge planning
At hospital

Question 3

Stage 2

Answer 3

Immediately post discharge
1-6 weeks
Follow up education returning to normal
At home or hospital

Question 4

Stage 3

Answer 4

Intermediate post charge
6-12 weeks
Supervised exercise educational programme
At hospital or community

Question 5

Stage 4

Answer 5

Long term maintenance
Life long
Behaviour change
At hospital home or community

Question 6

Aerobic fitness - vo2 In cad patients

Answer 6

50% lower peak vo2
20 in males
15 in males

Question 7

Cv mortality and peak vo2

Answer 7

Inverse relationship
Highest survival over 18
Lowest below 10

Question 8

Cardiac output

Answer 8

Submax normal

Heavy q drops

Question 9

Stroke volume

Answer 9

Reduced after around 60% vo2

Question 10

TPR

Answer 10

Higher at all work levels than in a healthy person

Question 11

Compensation

Answer 11

Increased submax HR
Increased Sns
Lower peak HR

Question 12

Some have blunted HR response

Answer 12

Right coronary stenosis

Decreased sympathetic sensitivity

Question 13

Blood flow redistribution

Answer 13

Cardiac patients do not redistribute blood as effectively

Question 14

A-v difference

Answer 14

Cardiac patients respond normally early on but some don’t extract the same O2 at maximal

Question 15

Key points

Answer 15

Lower peak vo2 
Lower peak work rate 
Work at higher % of Max during submax
Lower vo2 during submax
Greater reliance on anaerobic system

Question 16

What groups attend rehab

Answer 16

Post mi 
Pre and post CABG
Pre and post PTCA
angina 
Valve replacement