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Cardiac Rehabilitation Progress Tracking Sheet

Daily Activity and Vital Signs Monitoring Log

Cardiology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: ___________________ Date: //___ Program Start Date: //___

Daily Vital Signs Log

Pre-Exercise

  • Blood Pressure: / mmHg
  • Heart Rate: ____ bpm
  • O2 Saturation: _____%

Post-Exercise

  • Blood Pressure: / mmHg
  • Heart Rate: ____ bpm
  • O2 Saturation: _____%

Exercise Details

Cardiovascular Training

  • Type of Exercise: □ Treadmill □ Stationary Bike □ Elliptical □ Other:_______
  • Duration: ____ minutes
  • Intensity (RPE Scale 6-20): ____
  • Distance (if applicable): ____ miles/km

Resistance Training

  1. Exercise: _____________ Weight: ____ lbs Sets: ____ Reps: ____
  2. Exercise: _____________ Weight: ____ lbs Sets: ____ Reps: ____
  3. Exercise: _____________ Weight: ____ lbs Sets: ____ Reps: ____

Symptoms During Exercise

□ No symptoms □ Chest pain/pressure □ Shortness of breath □ Dizziness □ Unusual fatigue □ Other: _________________

Medications Taken Today

Notes

Next Appointment

Date: //___ Time: _______

Staff Signature: _________________

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