Mark Hayward Personal Training- Aylesbury, Bucks- Boot Camps- Personal Training- Princes Risborough, Milton Keynes, High Wycombe, Winslow, Thame, Stone, Bierton, Dunstable, Beds- Mark Hayward Advanced Personal Trainer


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Angina

Cardiac Rehabilitation



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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