Exercise Guidelines for Heart Failure Patients

Safe Physical Activity Recommendations for Managing Heart Failure

Cardiology

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Last updated: Mar 24, 2025

Introduction

Physical activity is a crucial component in managing heart failure when done safely and appropriately.

Before Starting Exercise

  • Consult your cardiologist for personalized recommendations
  • Have your medications readily available
  • Wear comfortable clothing and supportive shoes
  • Keep your nitroglycerin nearby if prescribed

Recommended Exercises

1. Walking

  • Start with 5-10 minutes daily
  • Gradually increase to 30 minutes
  • Maintain a comfortable pace where you can still talk
  • Use level ground initially

2. Stationary Cycling

  • Begin with 5-minute sessions
  • Low resistance setting
  • Monitor heart rate and breathing
  • Progress slowly to 15-20 minutes

3. Light Strength Training

  • Focus on major muscle groups
  • Use light weights (1-3 pounds)
  • 10-12 repetitions per exercise
  • Rest between sets

Warning Signs to Stop

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

Daily Guidelines

  1. Check weight and blood pressure before exercise
  2. Exercise at the same time daily
  3. Wait 1-2 hours after meals
  4. Stay hydrated
  5. Avoid outdoor exercise in extreme temperatures

Progress Tracking

  • Keep an exercise log
  • Note duration and intensity
  • Record any symptoms
  • Share progress with healthcare team

Remember

Start slow and progress gradually. Listen to your body and stop if you experience any warning signs.

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