It should follow the principles of science, safety and effectiveness, and according to the specific conditions and hobbies of the exercise participants, develop a reasonable exercise program (form), exercise intensity, exercise time, exercise frequency and precautions in the exercise process.
1. Exercise form:
Walking is the simplest and most widely used type of exercise in cardiac rehabilitation. Others, such as swimming, bicycling, square dancing, aerobics, tai chi, etc., according to the patient's basic condition, choose the interested and suitable form of exercise.
2. Exercise time:
? The optimal exercise time is 20 to 40 minutes. If tolerated, it is recommended to exercise continuously with intensity; patients with significant intermittent claudication, low cardiac reserve or debilitated patients need an intermittent exercise program, i.e., terminate the exercise when symptoms appear (e.g., claudication, fatigue, or dyspnea), and then start exercising again after the symptoms have disappeared until the symptoms reappear.
3. Exercise intensity:
Guidelines developed by the American College of Sports Medicine recommend using metabolic equivalents to assess exercise intensity. Alternatively, exercise intensity can be guided by heart rate estimation methods and the level of fatigue or symptoms felt by the patient.
4. Exercise frequency:
Exercise frequency should be 3 times per week at the beginning of rehabilitation for at least 3 to 6 months; if there are no traumatic complications during this period and the patient is interested in increasing the frequency, the exercise frequency can be increased to 4 to 5 times per week.
5. Precautions during exercise:
Choose the appropriate exercise method according to your own basic condition, and reach the milestones step by step. Monitor the patient during the exercise process and give necessary guidance.
Patients with coronary artery disease should be near a cardiac rehabilitation center, where they can individualize their exercise prescription with the help of guidance from a team that integrates physical medicine. Stabilized coronary heart disease patients are not blindly being over-stenting, but to seriously use drugs such as statin, aspirin, change unhealthy lifestyle, the implementation of the five major prescriptions, including exercise prescription, coupled with low-cost and effective extracorporeal counterpulsation, systematic participation in cardiac rehabilitation. The coronary heart disease can not be negative "static", but to be safe and effective "dynamic support".