Exercise Guidelines for Patients with Atrial Fibrillation

Introduction

Physical activity is beneficial for patients with atrial fibrillation (AF) when performed safely and appropriately. This guide outlines a structured approach to exercise for AF patients.

Before Starting Exercise

• Obtain clearance from your cardiologist
• Know your target heart rate range
• Have your medications list readily available
• Wear a heart rate monitor if recommended

Exercise Program Structure

Phase 1: Initial Conditioning (Weeks 1-4)

• Frequency: 3-4 times per week
• Duration: 10-15 minutes per session
• Intensity: Light (able to hold conversation)
• Activities:
  • Gentle walking
  • Light stretching
  • Basic balance exercises

Phase 2: Building Endurance (Weeks 5-8)

• Frequency: 4-5 times per week
• Duration: 20-30 minutes per session
• Intensity: Light to moderate
• Activities:
  • Brisk walking
  • Stationary cycling
  • Swimming (if approved)

Phase 3: Maintenance (Week 9+)

• Frequency: 5-6 times per week
• Duration: 30-40 minutes per session
• Intensity: Moderate
• Activities:
  • Previous activities plus light resistance training

Safety Guidelines

Warning Signs to Stop Exercise

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

Best Practices

1. Always warm up and cool down
2. Stay hydrated
3. Exercise indoors in extreme weather
4. Keep emergency contact information handy
5. Monitor your pulse regularly

Progress Tracking

Maintain an exercise log recording:

• Duration of activity
• Type of exercise
• Heart rate during exercise
• How you felt during and after

Follow-up Care

Schedule regular check-ups with your healthcare provider to assess your progress and adjust the program as needed.