1Should you do HIIT with cardiac rehab pts?
no, too intense and interferes with tissue healing
increase risk of MI
just do moderate intensity
2moderate intensity exercise improves _____ _______ and prevents ______ _______
heart health
further complications
3pts most at risk from HIIT
6-10 mos post MI
Reduced EF
ppl with unrevascularized CA's >60%
abdominal aortic aneurysm (AAA) repair
4Restrictive sternal precautions
no pushing/pulling/lifting >5-10 lbs for 6 weeks
no unilateral overhead or assistive devices
don't reach behind back
use splint for cough - avoid shear
5"move in the tube" - less restrictive sternal precautions
nothing specific, just reduce force on sternum by keeping UE close to body and midline
encourage ADLs
6what is HF
chronic progressive condition where heart can't keep up with metabolic demands
7HF leads to inadequate
oxygen delivery
8symptoms of HF
fatigue, dyspnea, fluid retention
9diastolic HF
preserved LF EF
10systolic HF
rediced LVEF
11how do ex testing parameters change for NYHA Class I-III HF?
symptom linked ex testing is safe - ends when angina starts
12Benefits of exercise for people with HF
reduces mortality
reduces hospitalizations
increases functional ability
increases exercise capacity, skeletal muscle function, and hemodynamic function
13Compensated HF
stable, they can exercise
14decompensated HF
new or worsening dyspnea, fatigue, edema, weight gain, chest pain
15how much weight gain is a problem
2-3 lbs in 24 hrs or +5 in 3 days (decompensated)