Safe Exercise After a Heart Attack: A Recovery Guide

A Step-by-Step Program for Cardiac Rehabilitation

Cardiology

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Last updated: Mar 24, 2025

Introduction

  • Recovery from a heart attack requires a carefully planned approach to physical activity
  • Always follow your cardiologist's specific instructions
  • Stop exercise immediately if you experience chest pain, shortness of breath, or dizziness

Phase 1: Initial Recovery (First 2 Weeks)

Gentle Activities

  • Short walks (5-10 minutes)
  • Light stretching
  • Ankle pumps while seated
  • Shoulder rolls

Guidelines

  • Exercise 2-3 times daily
  • Keep intensity low (able to speak comfortably)
  • Rest between activities

Phase 2: Building Strength (Weeks 3-6)

Recommended Activities

  • Longer walks (15-20 minutes)
  • Light resistance exercises
  • Stationary cycling (5-10 minutes)
  • Basic yoga poses

Monitoring

  • Track heart rate
  • Use RPE scale (1-10)
  • Stay within prescribed ranges

Phase 3: Increasing Endurance (Weeks 7-12)

Advanced Activities

  • 30-minute walks
  • Swimming
  • Low-impact aerobics
  • Resistance training with supervision

Safety Measures

Warning Signs to Stop

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

Important Tips

  • Warm up and cool down properly
  • Stay hydrated
  • Exercise with a partner when possible
  • Keep emergency numbers handy

Long-term Maintenance

  • Gradually increase activity level
  • Aim for 150 minutes per week of moderate exercise
  • Regular check-ups with your cardiac team
  • Maintain exercise log

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