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Keeping Active with Cardiac Disease

Keeping Active with Cardiac Disease. Glynn Burgess Cardiac Team Physiotherapist. Exercise/keeping active is recommended: After a heart attack After stents After cardiac surgery eg. Heart bypass, aortic valve/aortic surgery For angina (unless unstable) For heart failure (see later info).

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Keeping Active with Cardiac Disease

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  1. Keeping Active with Cardiac Disease Glynn Burgess Cardiac Team Physiotherapist

  2. Exercise/keeping active is recommended: After a heart attack After stents After cardiac surgery eg. Heart bypass, aortic valve/aortic surgery For angina (unless unstable) For heart failure (see later info)

  3. The Benefits of Exercise/Keeping Active: Improves heart and lung function Reduces angina Reduces blood pressure Reduces bad cholesterol, increases good

  4. For high blood pressureFor high cholesterolFor diabetes For obesity

  5. Helps maintain healthy body weight or can help reduce body weight Reduces tiredness and depression Reduces death by 25% Results in fewer hospital admissions

  6. Recommendations for activity/exercise: • An accumulated 30 minutes exercise/activity every day, incorporated into your daily routine

  7. Recommendations • Can be formally structured activity or informal lifestyle activities eg. Walking, climbing stairs, washing the car, cleaning windows, gardening, cycling

  8. Cont... • Exercise/activities should be done at Borg Scale level 3 of exertion (0-10 scale) ie. Moderate level • This level of exertion is described as “ Somewhat hard; feels good; not difficult to go on”

  9. Safety with Exercise/Activity - Don’t do activities/exercise on a full stomach or in extreme weather conditions - Do activities/exercise at your own pace (Borg scale level 3 – see later slide) - Don’t exercise/do activities if you feel your cardiac condition is generally worsening; instead seek medical advice

  10. Cont……….. - Make sure that you do an appropriate warm up and cool down eg. For a 20 minute activity, build up slowly for the first 5 minutes, be active for 10 minutes at a moderate level of exertion, then slow down gradually for the last 10 mins

  11. Safety • - Build up gradually and listen to your body – you may only start with 10-15 minutes of activity per day if this is what you can comfortably manage

  12. Cont……… - You may also find it more appropriate to do smaller amounts of activity, but more regularly throughout the day eg. 3x10 minutes, or 2 x 15 minutes. - However, if this is the case, you MUST still do an appropriate warm-up and cool down – ie. Building up slowly at the start and gradually slowing down towards the end of the activity

  13. Special Considerations • Patients with heart failure • Patients with pacemakers or Implantable Cardioverter Defibrillators (ICD’s) • Patients who want to do more activity/exercise than this • Telephone: 01709 423346

  14. Conclusion • Choose activities/exercise you enjoy

  15. Conclusion • If you experience cardiac symptoms during exercise/activities eg. Chest pain, unusual/excessive shortness of breath, dizziness/light headedness, palpatations, nausea, then stop and take appropriate action

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