Coronary Heart Disease

CHD is caused by atherosclerosis (plaque formation). Leading cause of death and disability for both men and women.

Physiologic and Training Considerations for CHD
  • The nature of heart disease may result in a specific level of exercise, above which it is dangerous to perform. Consult their physician before initiating training.
  • Clients with heart disease may not have angina (chest pain equivalent) or other warning signs. So must monitor pulse rate or use accurate monitor.
  • Between the underlying disease and medication use, the heart rate response to exercise will nearly always very considerably from age predicted formulas.
  • Peak oxygen uptake (as well as ventilatory threshold) is often reduced because of the compromised cardiac pump and peripheral muscle deconditioning.
Basic Exercise Guidelines for Coronary Heart Disease

Exercise for Coronary Disease

Mode large muscle group activities such as cycling, treadmill walking, or rowing.
Frequency 3–5 days per week
Intensity40–85% of maximal heart reserve. Stage I cardio respiratory training (talk test).
Duration 5–10 minutes warm-up, followed by 20–40 minutes of exercise followed by 5–10 minute cool-down.
Assessmentpush, pull, overhead squat, single–leg balance.
Flexibility static and active in a standing or seated position.
Resistance Training1–3 sets of 10–20 reps 2–3 days per week. Phase I and II of OPT model. Tempo should not exceed 1 second for isometric and concentric portions (e.g. 4/1/1 instead of 4/2/1).
Specific Considerations

Be aware that clients may have other diseases to consider as well, such as diabetes, hypertension, peripheral vascular disease, or obesity. Avoid heavy lifting and valsalva maneuvers. Do not let client over grip weights or clench fists. Perform exercises in a standing or seated position.

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