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Cardiac Rehab - Level 2

You should only use this video if you are on the Solent NHS Cardiac Rehabilitation programme and have been assessed by one of the team. Here is your level 2 Cardiac Rehabilitation Exercise Video it contains: 15 minute warm up 20 min interval Cardiovascular/Active Recovery 10 minute cool down *Please remember you can skip to the cool down section at any point in your workout if you are tired or feel you have done enough. You should have read and listened to all the safety information provided, here's a brief reminder. Before exercise: Ensure you have been taking your medication as usual regularly Have your GTN spray/Inhalers (if prescribed to you) near you Do not eat a large meal before exercising (leave around 2 hours) Make sure you are not on antibiotics for any active infections Do not drink alcohol or take recreational drugs before exercising Make sure your condition is stable and you haven't had any new symptoms If you are a diabetic make sure your blood sugars are well controlled If you take a drug called Warfarin you should be at your therapeutic level You should feel well and rested You should wear comfortable clothing You should be in a room with space for a few steps in each direction You should open a window for air if required You should have a glass of water nearby and take small sips throughout You should not use the video and exercise today if: You have chest pain at rest (Please see our chest pain protocol below) You have a temperature or are unwell Your heart rate feels irregular and this is not normal for you The Exercise Warm up Prepare body Gradual increase in effort accross 15 minutes Improve blood flow to heart and working muscles Cardiovascular/Active Recovery Increase strength and tone of muscles and heart over a period of time In time you will be able to work faster and harder as you get fitter Active recovery to provide partial recovery Cool Down Bring heart rate and blood pressure back down to resting levels Safe and gradual reduction in effort Helps prevent dizziness Stretches can improve flexibility and balance and reduce muscle soreness Exercise Effort or Intensity You should use a BORG scale (will have been provided) You can try to take your heart rate You should have been given a target heart rate training zone Normal Responses to Exercise (Moderate intensity) - will vary but usually; You may feel slightly sweaty You will feel warm or slightly flushed You will be breathing deeper and faster, but can still talk Your heart rate will be faster Indications you need to slow down and make less effort; You feel very tired and are sweating more than usual Your breathing becomes uncomfortable Your perceived exertion score (BORG) is higher than 14/15 If your BORG doesn’t reduce when you have slowed down, walk on the spot slowly. If you are still having problems after a couple of minutes, stop and sit down. Indications you should STOP and sit down and not resume exercise today; You have chest pain (Please see the chest pain protocol below) You feel dizzy -Your heart beat becomes unusually irregular The three points above are abnormal responses to exercise and could be due to overexertion. You should discuss any of these responses with your cardiac rehabilitation team before you attempt to exercise at this level again. Chest pain Chest pain can be caused by anything from muscle pain to angina or a heart attack and should never be ignored. Chest pain could be angina if it: feels tight, dull or heavy – although some people (especially women) may have sharp, stabbing pain -spreads to your left arm, neck, jaw or back -is triggered by physical exertion or stress -stops within a few minutes of resting How to use your GTN spray if you are prescribed one and you get chest pain: Stop what you are doing, sit down and rest Do one spray of your GTN under your tongue Wait 5 minutes, if the pain has not resolved, do another spray of GTN under your tongue Wait a further 5 minutes and if the pain has not resolved call 999 If in this time you feel very unwell, sweaty, clammy, nauseas do not wait 15 minutes, call 999. When to get help for chest pain You should call 999 for an ambulance immediately if you develop sudden severe chest pain, particularly if: The pain feels heavy, pressing or tight It lasts longer than 15 minutes It spreads to other parts of your body, such as your arms, back or jaw You have other symptoms, such as breathlessness, nausea, sweating, or coughing up blood If the discomfort is only minor or has resolved, it may be more appropriate to either: speak to your GP -call the 111 service Remember to make sure GTN spray is in date and to order a new one in plenty of time before it expires.