Typically, rehabilitation starts with light, then increasing activities on an individual basis, often under ECG control. High-risk patients should only do exercises when they are in a well-equipped cardiovascular rehab facility under the supervision of a trained attendant.
Of rehabilitation, some patients may benefit with CHD, heart failure, just durchgemachtem infarction or koronarchirurgischen intervention, especially those who were self-employed prior to the event in daily life and could walk. Cardiac rehabilitation aims to preserve the independence of the patient or they regain (overview of acute coronary syndrome (ACS): rehabilitation and treatment after hospitalization). Typically, rehabilitation starts with light, then increasing activities on an individual basis, often under ECG control. High-risk patients should only do exercises when they are in a well-equipped cardiovascular rehab facility under the supervision of a trained attendant. Unless the patient to be able to be brought in a wheelchair to physical therapy in the hospital. The exercises can include walking, a treadmill or stationary bike workouts. If these exercises are well tolerated by the patients, they can come to climb stairs. When shortness of breath, dizziness or chest pain during exercise, this should end immediately and the cardiac status is determined again. Before discharge from the hospital, patients are classified, so that an adequate nachstationäres rehabilitation or exercise program may be recommended. Physical activity is measured in metabolic equivalent (MET) are multiples of the resting O2 consumption; 1 MET (rest value) corresponding to about 3.5 ml / kg / min of O2 (endurance training and the metabolic conditions). Normal work and daily activities (excluding activities) rarely exceed more than 6 MET. Mild to moderate housework is about 2 to 4 MET; strenuous work or home gardening is about 5 to 6 MET. In patients in the hospital, physical activity should be such that the heart rate of <60% of the maximum value for this age remains (eg., About 160 beats / min at people aged 60 years), for patients at home should be the heart rate remain at <70% of maximum. In patients who have an uncomplicated MI, a 2-MET exercise test can be performed to clarify if patients are stable. A 4- to 5-MET exercise test is performed before discharge in order to create a policy for the physical activity at home. Patients who tolerate a 5-MET exercise test over 6 minutes may well make at home light housework when they take breaks between activities. An unnecessary limitation of activity is detrimental effect on the recovery. The doctor and the other members of the rehabilitation team should explain what activities can be carried out and which are not. They should also offer psychological support. After discharge the patient a detailed training plan for can be given at home. Most older patients are encouraged to take their sexual activity again, provided they allow yourself rest breaks to avoid overexertion. Young couples come during intercourse to 5 to 6 MET; whether older couples to expend more or less, is unknown. Endurance training and the metabolic conditions Metabolic prerequisite activity intensity level MET * kcal / h going in at a speed of 3-5 km / h cycling on level ground at 10 km / h Light stretching swimming (with a kickboard) Light to moderate housework low-2- 4180-300 go at 6 km / h Biker ren at 13 km / h Golf (drawing on foot or a car) Light Gymnastics Swimming (treading water) Heavy housework or gardening Moderate 5-6 300-360 walking or jogging at 8 km / h cycling at 18-19 km / h Swimming ( 0.8 km in 30 minutes) Leisure Tennis high 7-8 420-480 * oxygen consumption at rest (> 3.5 min / kg body weight) ml /. MET = metabolic equivalents. Adapted from Hanson PG, et al: Clinical guidelines for exercise workout. Postgraduate Medicine 67 (1): 120-138, 1980. McGraw-Hill, Inc.