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Ventricular Arrhythmias
Occur more commonly in individuals with a history of an MI than in
individuals without heart disease.
Medications
Clients with a history of MI are often taking medication to decease HR and BP.
Effects on Exercise
Training
Positive Effects
Normal effects of regular exercise.
Relief of anginal symptoms secondary to reductions in heart rate or blood
pressure (or both) and myocardial oxygen demand at any given somatic
oxygen uptake or submaximal work rate.
Modest decreases in body weight, fat stores, blood pressure (particularly in
hypertensives), total blood cholesterol, serum triglycerides, and LDLcholesterol.
Improved psychosocial well-being and self-efficacy.
Disclaimer
Conventional exercise training as an isolated intervention generally has
little effect on increasing left ventricular ejection fraction and myocardial
perfusion.
Management &
Medications
Management
Is essentially palliative, undertaken to minimize the severity of
clinical sequel and to potentially slow, halt, or even reverse the
progression of disease
Coronary artery bypass graft surgery
For moderate to high-risk
Medications cont.
Diuretics (water pills)
Use: To help your body get rid of unneeded water and salt through the
urine (hypertension).
Exercise effects:
Possibly dehydration
Hyperkalemia
Beta-blockers
Use: to target beta receptors
Exercise Effects:
Decrease submaximal and maximal heart rate and sometimes exercise
capacity.
Considerations for
Exercise Testing
Abnormal findings (e.g., angina, ischemic
ST-segment depression)
That additional areas of myocardium are
served by stenosed coronary vessels and
remain in jeopardy.
Long-acting beta-blockers
Testing should be conducted at
approximately the same time of day the
subject will be exercising, because the
significant reduction in exercise heart rate
may dissipate over time.
Frequency
At least four to seven( nonconsecutive) days per week.
Duration
20 to 60 min of continuous or accumulated (interval) exercise,
Warm-up and cool-down periods of 5 to 10 min.
Mode
A formal or structured program.
While increasing the adoption and maintenance of physical activity
in daily living.
Maximum benefit requires 5 to 6 h per week of physical activity.
Exercise Program
Monday
Tuesda
y
Yoga for
Beginner
s
Wednes
day
Thursda Friday
y
Walk
Resistan
ce
Bands
5 min
stretchi
ng
Yoga for
Beginner
s
Saturda
y
Sunday
Walk
Resistan
ce Bands
5 min
5 min
stretching stretchin
g
5 min
stretchin
g
Special Considerations
Medications
In most cases AMI survivors will need to take medications
along side with exercise. So you must be thorough in the
schedule and administration of their medication usage.
Incision
Should be noted and thought around accordingly (ex. Bench
press).
Hypertension
Make sure they are breathing properly (ex. strength training).
Bed-ridden symptoms
Must remember that these individuals may have muscle
hypotrophy and other symptoms.