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[常见病处方] 心绞痛病人运动处方

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发表于 2012-4-19 09:34:34 | 显示全部楼层 |阅读模式
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

  • 3-7 days a week

Resistance

  • 2-3 days a week

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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