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Exercise for a Healthy Heart
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Cardiac Rehab Overview
Education Classes Nursing Assessment Exercise Test (Stress Test) Exercise Therapist Assessment Exercise Classes
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Exercise Test (Stress test)
•Functional Assessment•Increases in speed and elevation over time•Blood pressure, heart rate, rhythm rate and symptoms monitored throughout test
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One-on-One Assessment
Exercise Therapist Assessment
30 minutes session Review exercise test Discuss exercise plan and prescription
Exercise history and goalsMedical history – muscle or joint concernsExercise log/gym session overviewHow to monitor intensity
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Exercise Classes 2 x per week
60 minutes per class
4 months
Monitoring blood pressure, heart rate and blood sugars (if diabetic)
Nurse and exercise therapists
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Why Physical Activity?
Working to improve both physical fitness & physiological function Heart pumps blood and oxygen to the body with less effort Improves symptom management Improves circulation
Positive mental health and quality of lifeLess mental stress, depression and anxietyFeeling BETTER!!
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Why Physical Activity?
Positive effect on risk factors • Blood pressure
• Cholesterol
• Blood sugars
• Weight management•
• Stress, anxiety & depression
• Smoking cessation
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Physical Activity
Any body movement that increases energy expenditure above resting levels• Can be activities of daily living, occupation, leisure and
active transportation
Most days of the week, preferably daily• Minimum: 150 minutes/week of physical activity (1000
kcal/week)
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Exercise
Planned
Structured
Repetitive
Improves and maintains overall physical fitness
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Aerobic Exercise
Continuous, rhythmic exercise using large muscle groups
3-5 days of the week
30 – 60 minutes per session of moderate intensity
Eg. Walking, running, biking, stair climbing, swimming
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Aerobic ExerciseModerate intensity exercise measured by:
1. Target Heart Rate Range
2. Rating of Perceived Exertion
(RPE scale)
3. Metabolic Equivalents
(MET level)
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Target Heart Rate Range Based on your initial stress test
Most desirable intensity to exercise at
Safe intensity
Monitoring Heart RatePulse Check
Heart Rate Monitor
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Heart Rate Monitor Device that measures
heart rate
Wear it during exercise and general activities
Water proof
Purchased at any fitness store
Chest Strap Transmitter
Wrist Receiver - Watch
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RPE ScaleRating of Perceived Exertion
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Metabolic Equivalent
Metabolic equivalent = MET
Amount of oxygen used
by the body during physical activity
The harder your body is working during an activity – the higher the MET required
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Resistance Training To increase or maintain strength
2-3 days of the week
12-15 repetitions at a moderate weight
Eg. Weight Machines,
free weights, rubber tubing,
resistance bands
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Flexibility (stretching)
To improve range of motion
3-5 days per week
20-60 seconds per stretch
All major muscle groups
Eg. Stretching, Yoga,
Tai Chi
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Exercise Safety
Warm Up Allows the body to get ready for exercise
5 – 10 minutes, easy pace
Eg. walk slowly gradually
increasing speed, bike no
resistance, walking on a spot,
stepping side-to-side
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Exercise SafetyCool Down Allows the body to recover
from your exercise
5-10 minutes, easy pace
After your exercise, continue
your activity at a lower level
walking on a spot,
stepping side-to-side
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Exercise Safety Nitro spray
Symptoms
Blood Sugar
Medications
Inform staff of hospital or ER visits
Replace fluids – Drink water!
Coffee, food, alcohol, smoking
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Gym Reminders
Heart Rate Monitoring Footwear Water Towel Clothing Glucometer and snack (diabetes) Attendance Gym Cancellations
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Tips for getting started
Small changes make BIG differences
Start by increasing physical activitySlowly introduce exercise
Find an activity you enjoy! Variety is important!
Find an exercise partner/family member
Set exercise goals/action plan
It’s NEVER too late to start!
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There are 1440 minutes in every day…Schedule 30 of
them for exercise!!
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Thank you
This presentation has been developed by the Cardiac Rehabilitation staff at the Regional Cardiac Care Centre of St. Mary’s General Hospital, Kitchener, Ontario.