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Angina | Exeter and Stoke Mandeville

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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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