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8 Cards in this Set
- Front
- Back
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ACE inhibitors and angiotensin II receptor blockers |
Exercise effects: - decrease BP during exercise - may increase exercise capacity in patients with HF Special considerations: - ACEI can cause coughing - post exercise hypotension |
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Beta-blockers |
Exercise effects: - decrease BP during maximal and sub-maximal exercise - decrease HR during maximal and sub-maximal exercise - may decrease exercise capacity in subjects without angina - may increase capacity in patients with and angina and heart failure Special considerations: - may blunt exercise training-induced lowering of triglycerides and increase in HDL - may adversely effect thermoregulatory function - may increase hypoglycemia in patients taking insulin - increase cool downs as risk of post exercise hypotension - use RPE as HR is blunted - fatigue - bradycardia |
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Calcium channel blockers |
Exercise effects: - decreases BP at rest and during exercise - dihydropyridines may increase HR and non-dihydropyridines may decrease HR - may increase exercise capacity in angina patients - decrease or no effect on maximal and sub-maximal HR Special considerations: - may predispose to post exercise hypotension - non-dihydropyridines may cause peripheral Edema and constipation |
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Diuretics |
Exercise effects: - decrease BP - may increase exercise capacity in patients with HF - no effect on resting or exercising HR Special considerations: - may result in serum derangements and thereby accenuate the risk for exercise-induced arrhythmias - may also adversely effect thermoregulatory function |
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Nitrates |
Exercise effects: - may decrease HR during exercise - raises ischemic threshold - decrease BP Special considerations: - hypotension - may increase exercise tolerance in patients with angina - headaches |
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Digitalis |
Exercise effects: - decrease in resting HR for people with atrial fibrillation - not significantly altered in patients with sinus rhythm Special considerations: - Increase exercise tolerance in patients with atrial fibrillation and heart failure only - can cause false positive stress test due to causing st segment depression that is not indicative of ischemia |
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Statins |
Exercise effects: - no effects on HR or BP at rest or during exercise Special considerations: - myalgia and weakness - may be hard to differentiate between myalgia and DOMs |
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Antiarrhythmic agents |
Exercise effects: - may increase HR at rest - may decrease BP at rest - typically no effect on HR and BP during exercise Special considerations: - watch for widening QRS with exercise - some agents may cause false positive stress tests |
