Exercise Guidelines for Coronary Artery Disease Patients

Initial Assessment

• Completion of cardiac rehabilitation program
• Current medication review
• Exercise stress test results
• Baseline vital signs

Safe Exercise Parameters

Heart Rate Guidelines

• Target heart rate: 50-75% of maximum
• Maximum heart rate calculation: 220 - age
• Use heart rate monitor when exercising

Intensity Monitoring

• Rate of Perceived Exertion (RPE): 11-13 on Borg Scale
• Talk test: Should be able to carry conversation
• Stop if experiencing chest pain or severe shortness of breath

Recommended Activities

Aerobic Exercise

• Walking (start with 10-15 minutes)
• Stationary cycling
• Swimming or water aerobics
• Light jogging (if approved)

Strength Training

• Light resistance bands
• Body weight exercises
• Light dumbbells (2-5 lbs)
• 10-15 repetitions per set

Exercise Frequency

• 3-5 sessions per week
• 20-45 minutes per session
• Rest day between strength training

Safety Precautions

1. Warm up: 5-10 minutes
2. Cool down: 5-10 minutes
3. Stay hydrated
4. Exercise indoors during extreme weather
5. Carry nitroglycerin if prescribed

Warning Signs to Stop

• Chest pain/pressure
• Unusual shortness of breath
• Dizziness
• Irregular heartbeat
• Excessive fatigue

Progression Guidelines

• Increase duration before intensity
• Add 2-3 minutes weekly
• Monitor symptoms
• Log activities