Cardiac Rehabilitation

Front 1

What are the major rist factors that can't be changed?

Back 1

Age
Gender
Heredity

Front 2

What are the major ristk factors you can modify, treat or control by changing your lifestyle or taking medicine?

Back 2

Smoking
High blood cholesterol
High blood pressure
Physical inactivity
Obesity and overweight
Diabetes

Front 3

What other factors contribute to heart disease risk?

Back 3

Stress
Alcohol

Front 4

What is Metabolic Syndrome?

Back 4

A clustering of metabolic complications of obesity

-associated with obesity and insulin resistance. Obesity contributes to: hypertension, high blood cholesterol, low HDL cholesterol and hyperglycemia(high blood sugar)

Front 5

Sighns of cardio, metabolic, pulmonary disease

Back 5

pain, discomfort, shortness of breath, dizziness or syncope, orothopnea or paraoxysmal nocturnal dyspnea, ankle edema, palpitations or tachycardia, intermittent claudication, known heart murmur, unusual fatigue, or shortness of breath

Front 6

Pain, discomfort

Back 6

-in neck, chest, jay, arms, or other areas may be signs of ischemia
-May be cardiac disease - CAD
-Constricting, squeezing, burning, heavy feeling, dull ache, knifelike

Front 7

Shortness of breath at rest or with mild exertion

Back 7

Dyspnea - symptom of cardiac and pulmonary disease, common in strenuous exertion

Front 8

Dizziness or syncope

Back 8

Syncope is mostly caused by reduced perfusion of the brain. prevent rise in cardiac output during exercise, severe CAD, aortic stenosis.

Front 9

Orthopnea or paroxysmal nocturnal dyspnea

Back 9

-Dyspnea occurring at rest in laying position, relieved by sitting or standing. usually 2-5 hours after onset of sleep. left ventricular disfunction

Front 10

Ankle edema

Back 10

Bilateral ankle edema. evident at night. sign of heart failure. venous thrombosis or lymphatic blockage.

Front 11

Palpitations or tachycardia

Back 11

unpleasant awareness of the forceful or rapid beating of the heart. induced by tachycardia, bradycardia, ectopic beats, compensatory pauses. occur from anxiety, anemia, fever

Front 12

Intermittent claudication

Back 12

The pain that occurs in a muscle with an inadequate blood supply that is stressed from exercise. doesnt occur when sitting or standing. described as cramp. disappears 1-2 minutes after exercise. CAD and diabetes is more prevelent with this

Front 13

Known Heart Murmur

Back 13

may indicate valvular or other cardio disease.

Front 14

Unusual fatigue or shortness of breath with usual activities

Back 14

May signal the onset of, or change in the status of cardio, pulmonary, or metabolic disease

Front 15

Family History

Back 15

Myocardial infarction, coronary revascularization. or suddin death before 55 in father, or before 65 in mother.

Front 16

Age

Back 16

Men>45, Women>55

Front 17

Cigarette Smoking

Back 17

Current smoker, one who quit within 6 months, exposure to environmental tobacco smoke

Front 18

Sedentary lifestyle

Back 18

Not participating in 30 minutes of moderate intensity (40-60% vo2 R) on at least 3 days of the week for 3 months

Front 19

Obesity

Back 19

Body mass index >30 or waiste >40 inches for men and >35 for women

Front 20

Dyslipidemia

Back 20

LDL cholesterol or HDL cholesterol or on lipid lowering medication.

Front 21

Prediabetes

Back 21

Impaired fasting glucose=fasting plasma glucose

Front 22

With CVD consider making decisions about:

Back 22

-level of medical clearance
-the need for exercise testing prior to initiating participation
-The level of supervision fot both exercise testing and exercise program participation

Front 23

Low Risk

Back 23

less than 1 CVD risk factor
-risk for cardio event low, physical exercise program may be pursued safely without medical exam

Front 24

Moderate Risk

Back 24

2 or more risk factors
-risk for cardio event is increased. may engage in low to moderate intensity physical activity without medical clearance.medical exam recomended

Front 25

High Risk

Back 25

Known cardio, pulmonary, or metabolic disease or one or more sign or symptom
-risk for cardio event increased, medical exam should take place and clearance given for exercise at any intensity.

Front 26

Health fitness professionals should have knowledge of:

Back 26

-criteria for cardio, pulmonary, and metabolic diseases
-The descriptions of signs and symptoms for these diseases
-The specific criteria that determine the CVD risk factor schemes
-the criteria for each risk category

Front 27

Cardiac rehabilitation

Back 27

-A multidisciplinary program of education and exercise established to assist individuals with heart disease in achieving optimal physical, psychological, and functional status within the limits of their disease

Front 28

Cardiac rehab program includes:

Back 28

-education of the patient and family in the recognition, prevention and treatment of cardio disease
-Elimination or reduction of risk facctors
-Dealing with the psychological factors that influence revovery from heart disease
-Structured, progressive physical activity, either in a rehab setting or a home program
-Vocational counseling

Front 29

Cardiac rehab staff

Back 29

-cardiac rehab advisory board
-attending physician
-medical director
-program coordinator
-professional skilled at exercise testing
-dietician
-behavior specialist

Front 30

Phases of cardiac rehab
-Phase I

Back 30

Acute
3 MET FC

Front 31

Phases of cardiac rehab
Phase II

Back 31

Sub acute
5 MET FC

Front 32

Phases of cardiac rehab
Phase III

Back 32

Intensive rehab
8 MET FC

Front 33

Phases of cardiac rehab
Phase IV

Back 33

Ongoing rehab
Adult Fitness