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Questions Individuals with Cardiac Conditions Engaging in Exercise often Ask Health Fitness Professionals: Research-Based Responses
May 4, 2022 | 12:00 - 1:00 p.m. EDT
Presenters:
Kirk D. Hendrickson, M.S., ACSM-CEP Cindy Haskin-Popp, M.S., ACSM-CEP
Moderator:
Barry A. Franklin, Ph.D., FACSM, ACSM-CEP
Description:
This webinar will address many common questions that individuals with cardiac conditions often pose to health fitness professionals and will provide empiric and research-based responses or answers to these queries. These practical data, and the authors’ shared clinical experiences in fielding these questions over the years, should be helpful to the health fitness professional when working with the escalating population of clients with known cardiovascular disease who are seeking safe and effective exercise regimens to enhance cardiovascular health, functional independence and well-being.
Objectives:
After participation, the attendee should:
1. Learn empiric and research-based responses and answers to common questions individuals with cardiac conditions often pose;
2. Use the information when working with clients with known cardiovascular disease to design individualized, safe and effective exercise regimens to enhance cardiovascular health, functional independence, and well-being;
3. Understand how to safely progress aerobic exercise training levels to increase cardiorespiratory fitness and improve survival; and
4. Discuss safe approaches for individuals with cardiac conditions to resume exercise following recovery from COVID-19 infection.
Take away Points
1. Exercise preconditioning describes the cardioprotective impact that even a few exercise bouts provide against heart attack. Completing multiple moderate exercise bouts weekly ensures that the heart remains robustly protected.
2. The use of predicted maximal heart rate (220-age) and calculating 70-85% of these values should not be used to determine exercise heart rate levels. These are inaccurate with cardiac patients since the heart rate may be markedly reduced due to the use of medications such as beta blockers and calcium-channel blockers. A more accurate value can be determined during peak or symptom-limited exercise testing. Otherwise, we recommend perceived exertion and symptoms as adjunctive exercise intensity modulators. During the initial 2-3 months of exercise training, perceived exertion ratings of 11-13 (“fairly light” to “somewhat hard”) are strongly recommended.
3. Identification of high-risk activities. The greatest risk of experiencing a heart attack or cardiac arrest during or immediately after physical exertion is in sedentary individuals with known or occult cardiovascular disease who perform unaccustomed vigorous to high intensity physical activity. Also, activities that involve sudden, high intensity stops and starts (competitive squash/racquetball), extremely strenuous activity (e.g., heavy lifting; shoveling heavy, wet snow; deer hunting; cross-country skiing; waterskiing), especially activities with superimposed environmental or emotional stressors should be avoided by individuals with cardiac conditions.
4. Progression of exercise training programs to maximize the survival benefits. The use of aerobic exercise training, such as graded treadmill walking, can be used to increase cardiorespiratory fitness, (expressed as METs) to improve survival. The goal is to eventually achieve “good” fitness training levels for age- and gender-matched group. Exercise training goal would be to achieve 60-80% of “good” fitness capacity levels of age- and gender-matched group. Dependent on the initial fitness level, achieving “good” fitness training levels may take 3 to 12 months. Every 1 MET increase from the initial or baseline fitness level confers an approximately 15% reduction in mortality, up to about 10 METs, largely plateauing thereafter. For those individuals with functional or orthopedic limitations, even modest increases in cardiorespiratory fitness can translate to significant improvements in health status.
| Pricing |
|
| Webinar ONLY - ACSM Member |
Free |
| Webinar ONLY - Non-Member |
$10.00 |
| Webinar PLUS 1.0 CEC - ACSM Member |
$10.00 |
| Webinar PLUS 1.0 CEC - Non-Member |
$20.00 |
CECs
This webinar qualifies for up to 1.0 Continuing Education credit.
Credits will be awarded to only those who register with a CEC option below and attend the entire (1 hour) live event on 5/4/2022 12:00 - 1:00pm EDT.
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