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Specific/ Clinical Objectives
Blood pressure and cardiac rehabilitation guidelines
• Lower CHD risk profile
• Lower BP
• Increase CV based PA
• Reduce stress
• Reduce body fat
• Reduce smoking
• Increase caloric expenditure
• Get advice on healthy eating.
Modes
Aerobic
• Large muscle group activity: Walking, cycling
• Leading on to: Cross training, rowing, stepping, group based aerobics, swimming
Resistance
• Circuit training
Contraindications
• SBP>180 mmHg or DBP > 110 mmHg
• Overhead resistance exercise
• Valsalva maneuvre (holding your breath and staining)
• Isometric contractions (pushing a weight without it moving)
• Do not use resistance as only form of exercise
Frequency
Aerobic
• 3-7 days a week not early morning
Resistance
• 2-3 days a week not early morning
Duration
Aerobic
• 30-60 minutes session; continuous exercise if possible.
Resistance
• 10-15 reps; 1-3 circuits
Intensity
Aerobic
• Low to moderate
• ObservationTalk test
• RPE (dependant on medication)
• HR (dependant on medication)
• METs
Resistance
• Low to moderate
Progression
• Duration, frequency, mode/ intensity
Comments
Aerobic exercise at 40-70% MHR (or equivalent) for best results
Talk to your doctor before starting an execise programme