Percutaneous Coronary Intervention Exercise Guideline What does exercise do for us?
When should we STOP exercise?
If you experience any of the following: Chest pain, which may spread to left neck, shoulder and arm
a
Lowers the chance for future heart attacks Lowers blood pressure & cholesterol level Lowers anxiety & depression Reduces the number of future hospital admissions Improves blood sugar control
Improves stamina for daily activities
Improves confidence & sense of well being
When should we exercise?
When you feel well
At least 1-2hours after meal
Chest palpitations
Shortness of breath
Cold sweat
Nausea or vomiting
Light-headedness
How to exercise? Type of exercise
Examples
Warm-up To prepare the body for activity.
Marching on the spot
Conditioning: Aerobic activities
0-4 weeks: walking
To increase stamina and exercise tolerance of the heart muscle. > 4 weeks: jogging, cycling, swimming, stairs climbing
Cool down To aid recovery and allow gradual return of blood to the heart, maintain flexibility; may prevent muscle soreness
Stretching muscles of the lower limb (i.e. thigh and calf muscles)
Note Ensure that you are wearing proper exercise attire and footwear. If you have been given a GTN spray or tablet, keep them with you at all times during exercise.
Intensity Monitoring Rate of Perceived Exertion (RPE) Scale RPE scale describes your level of exertion which corresponds to how hard your body is working. RPE Scale (modified) 0
No exertion at all
1 2
Very light
3 4
Light
5
Moderate
6
Somewhat hard
7
Hard (heavy)
8
Very hard
9 10 Maximum exertion
Exercise Log Week
Intensity
Frequency
Example
1
RPE ≤4
2 - 4x /day
3-5mins walking
2
RPE 4-6
2 - 4x /day
5-10mins walking
3
RPE 4-6
4
RPE 4-6
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday M T W T F S S M T W T F S S M T W T F S S
Disclaimer: Exercises illustrated and instructed in this handout are strictly for designated patient based on the assessment and instruction of the therapist. If you have any doubts, please contact your therapist.
Yishun Health is a network of medical institutions and health facilities in the north of Singapore, under the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
REHAB.PE.PT.053.0320