Heart Failure Exercise Program: Patient Guide

A Structured Approach to Safe Physical Activity with Heart Failure

Cardiology

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Last updated: Mar 24, 2025

Introduction

Regular physical activity is a crucial component of heart failure management. This guide will help you implement a safe and effective exercise program under medical supervision.

Before Starting

  • Obtain clearance from your cardiologist
  • Have your medications properly adjusted
  • Understand your target heart rate range
  • Learn to monitor your symptoms

Exercise Guidelines

Frequency

  • Start with 3 sessions per week
  • Gradually increase to 5-7 sessions weekly
  • Allow rest days between sessions initially

Duration

  • Begin with 5-10 minutes
  • Gradually increase to 30-40 minutes
  • Include warm-up and cool-down periods

Intensity

Target Range:

  • Light to moderate intensity
  • Should be able to hold a conversation
  • Stay within prescribed heart rate range

Types of Exercise

Aerobic Activities

  • Walking (recommended for beginners)
  • Stationary cycling
  • Swimming or water exercises
  • Light jogging (if approved)

Strength Training

  • Light resistance bands
  • Body weight exercises
  • Light dumbbells
  • Focus on high repetitions, low weight

Warning Signs to Stop Exercise

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

Progress Tracking

  • Keep an exercise log
  • Record daily weight
  • Monitor symptoms
  • Track exercise duration and intensity

Safety Tips

  1. Exercise indoors during extreme weather
  2. Stay hydrated
  3. Wear appropriate footwear
  4. Carry emergency contact information
  5. Keep nitroglycerin nearby if prescribed

Weekly Schedule Example

Day Activity Duration
Mon Walking 20 min
Wed Cycling 20 min
Fri Swimming 20 min

Always consult your healthcare provider before modifying this program.

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