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Excerpts — Guidelines for Cardiac Rehabilitation Programs 6th Edition With Web Resource

Considerations for the prescription of exercise and physical activity

This is an excerpt from Guidelines for Cardiac Rehabilitation Programs 6th Edition With Web Resource by AACVPR.By Jonathan Myers Guideline 6.1 Considerations for the Prescription of Exercise and Physical Activity When developing an exercise prescription, consider the following factors: Safety Factors Clinical history Risks associated with CVD progression or instability Ischemic and angina thresholds Cognitive or psychological impairment Associated Factors Vocational or avocational requirements Orthopedic limitations Previous and current activities Personal health and fitness goals An important initial consideration in exercise planning is safety. Safety considerations apply to both structured exercise training and leisure-time PA. While most patients can engage...

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Example of standing orders to initiate outpatient cardiac rehabilitation

This is an excerpt from Guidelines for Cardiac Rehabilitation Programs 6th Edition With Web Resource by AACVPR.Appendix A: Example of Standing Orders to Initiate Outpatient CR Initiate monitored exercise program per outpatient CR policies and procedures. Determine target heart rate (THR) via sign- or symptom-limited graded exercise testing (GXT) or sign- or symptom-limited responses to submaximal exercise. Begin with a training duration of up to 30 min to tolerance, one to five times a week. Gradually increase duration of training exercise if patient cardiovascular and physiological responses are within normal limits. Observe participant for signs of exercise intolerance and adapt...

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What are cardiac dysrhythmias?

This is an excerpt from Guidelines for Cardiac Rehabilitation Programs 6th Edition With Web Resource by AACVPR.By Alison L. Bailey, Alexis L. Beatty, Brian Carlin, Dennis J. Kerrigan, Steven J. Keteyian, Kirstine Laerum Sibilitz, Karen Lui, Ryan Mays, Jonathan Powell, Ray W. Squires, Diane J. Treat-Jacobson Cardiac dysrhythmias are abnormalities in heart rhythm. They are also known as arrhythmias or irregular rhythms. Many CR participants have a history of cardiac dysrhythmias, and some experience dysrhythmias during CR participation.1-3 Symptoms from dysrhythmias may or may not be present and vary from patient to patient. The effects of dysrhythmias can range from...

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