Angina Main Menu > Cardiac Rehabilitation
Specific/ Clinical Objectives
- Improves conditioning and therefore angina/ ischaemic threshold
- CHD risk profile
- May lower BP
- Reduces stress
- Reduces body fat
Modes
Aerobic
- Large muscle group activity: Walking, cycling
- Moving on to: Cross training, rowing, stepping, group based aerobics, swimming
Resistance
- Light endurance based circuits
- Compound exercises (using more than one joint)
Contraindications
- Unstable angina
- Valsalva manoeuvre (holding you breath and straining)
- Isometric ontractions (pushing against a weight and not moving it)
Frequency
Aerobic
Resistance
Duration
Aerobic
- 20-60 minutes session with prolonged warm up and cool down
Resistance
- 5-10 exercises
- 15-20 minutes a session
- 8-15 reps a set
Intensity
Aerobic
- Low to moderate
- Talk test
- RPE (dependant on medication)
- HR (dependant on medication)
- METs.
- Safe HR = 10-15 bpm under ischaemic threshold
Resistance
- Low to moderate (rep range/RPE)
Progression
- Duration, frequency, mode/ intensity
Comments
- Consider cardiac load on whole body activities
- May be repeated 2-3 times a day
- Always have your GTN spray with you
- Don't exercise in a cold environment
- Watch for a plateaux or drop in SBP with increased work rate
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