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Angina in relation to exercise for cardaic rehabilitaion. Please check with your doctor that they consider it safe to commence with non-clinically supervised exercise.


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.
• Do not exercise in a cold environment.

Watch for a plateaux or drop in SBP with increased work rate.



One to one cardaic rehab available with Mark Hayward Personal Training in Exeter and South Devon
Mark Hayward PERSONAL TRAINING EXETER DEVON
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Exeter EX2 8FU
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