Exercise Guidelines for Heart Valve Disease Patients

A Comprehensive Guide to Safe Physical Activity

Cardiology

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Last updated: Mar 24, 2025

Introduction

Physical activity is essential for heart valve disease patients, but it must be approached carefully and systematically. This guide outlines safe exercise practices based on your condition and capabilities.

Before Starting

  • Obtain clearance from your cardiologist
  • Complete a baseline exercise stress test
  • Learn to monitor your heart rate and symptoms
  • Understand your specific valve condition limitations

Exercise Intensity Guidelines

Light Intensity (Recommended for Beginning)

  • Target heart rate: 40-50% of maximum
  • Activities:
    • Gentle walking
    • Light stretching
    • Basic yoga
    • Tai chi

Moderate Intensity (As Tolerated)

  • Target heart rate: 50-70% of maximum
  • Activities:
    • Brisk walking
    • Swimming
    • Stationary cycling
    • Light resistance training

Warning Signs to Stop Exercise

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

Weekly Exercise Schedule

  1. Start with 10-15 minutes, 3 times per week
  2. Gradually increase to 30-40 minutes, 4-5 times per week
  3. Always include:
    • 5-minute warm-up
    • Main exercise period
    • 5-minute cool-down

Special Considerations

  • Avoid high-intensity interval training
  • No heavy lifting (>10 pounds)
  • Maintain proper hydration
  • Exercise in temperature-controlled environments
  • Keep exercise log for physician review

Emergency Protocol

  1. Stop activity immediately if symptoms occur
  2. Sit or lie down as needed
  3. Contact healthcare provider if symptoms persist
  4. Call emergency services for severe symptoms

Regular Monitoring

  • Record daily exercise duration and type
  • Monitor heart rate during activity
  • Track symptoms and recovery time
  • Report changes to healthcare team

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