Exercise Guidelines for Patients with Heart Valve Disease

Safe Physical Activity Recommendations and Precautions

Cardiology

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Last updated: Mar 24, 2025

Introduction

Exercise is an important component of managing heart valve disease, but it must be approached carefully and systematically.

Safety Guidelines

Before Starting Exercise

  • Obtain clearance from your cardiologist
  • Know your specific valve condition and limitations
  • Have emergency contact information readily available
  • Wear appropriate clothing and footwear

Recommended Activities

  1. Low-Impact Aerobic Exercise

    • Walking
    • Stationary cycling
    • Swimming (if approved)
    • Light water aerobics
  2. Strength Training

    • Light resistance bands
    • Body weight exercises
    • Small hand weights (1-3 lbs)

Exercise Intensity

Target Heart Rate

  • Stay within prescribed heart rate range
  • Usually 50-70% of maximum heart rate
  • Monitor pulse regularly

Warning Signs to Stop

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

Exercise Progression

Week 1-2

  • 5-10 minutes per session
  • 2-3 times per week

Week 3-4

  • 10-15 minutes per session
  • 3-4 times per week

Week 5+

  • 15-30 minutes per session
  • 4-5 times per week

Important Precautions

  • Avoid high-intensity activities
  • No heavy lifting (>10 lbs)
  • Maintain proper hydration
  • Exercise in temperature-controlled environments

Documentation

  • Keep an exercise log
  • Record heart rate
  • Note any symptoms
  • Track progress

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