KNES 364 Lecture Notes - Lecture 20: Electrocardiography, Deconditioning, Exercise Intensity

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4 Feb 2020

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Exercise should only be prescribed to stable or chronic chf patients and not to those who are in unstable condition. If patients do not have a fc > 3 mets, the risks of exercise may outweigh the benefits. Chf patients are usually highly medicated and many of the medications can affect ekg, heart rate and blood pressure response to exercise. Rpe is especially important to use to judge proper intensity. Main cause of death in chf population is cardiac arrest, so staff should closely monitor these patients via ekg (when possible) and blood pressure. Most of all, staff should be aware of worsening status like increased shortness or breath, fatigue, angina, edema or weight gain. Exercise may have to be intermittent due to severe deconditioning related to the disease process. Focus with progression should be on increasing duration and frequency of aerobic exercise prior to intensity. Warm-up and cool-down should be extended to 10-15 minutes each.

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KNES 364 Lecture Notes - Lecture 20: Electrocardiography, Deconditioning, Exercise Intensity

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