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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.
• 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