Youth-Tank-Carradine-Elite-Jersey

Cardiac RehabilitationAjay Elias [url=http://www.redskinsofficialnflproshop.com/authentic-sonny-jurgensen-jers... SpecialistKarimbilackil,Mekkadanbu.PO.Muvattupuzha .Kerala,IndiaCharacteristics:General features: Longitudinal, Participatory, Preventive, Personalized to a limited extendComponents: Physiological, Vocational, Psychological, Educative.Ideal Program:Individualized, supervised [url=http://www.redskinsofficialnflproshop.com/authentic-shawn-lauvao-jersey...., therapeutic, relaxing, dynamic, aerobic, viable intensity, enjoyable, educational, recreational, non 芒鈧€?competitive.Candidates:Post MI, Post CABG [url=http://www.redskinsofficialnflproshop.com/authentic-sean-taylor-jersey.h..., Post transplant, Post valvular.Primary goals1. Increase the functional capacity.2. After natural history of cardiac disease.PrecautionsNo heavy meals prior to exerciseExercise in a cool environmentDrink water before & after exercises and allow sips during exercises.Loose and comfortable dressing Early morning and late evening are the best time for exercise.GoalsPhase 1 prevent secondary complications of inactivity.Phase 2 achieve strong scars in the area of ischemiaPhase 3 improve endurance and return to work if possible to previous activity itselfPhase 4 maintenance and endurance PHASE 1 PHASE 2 PHASE 3Name In Hospital Early Post Hospitalization Maintenance PhaseTiming Admission to hospital 2 weeks post discharge or 6-8 week Post MI ,3-4 wee Post CABG Duration Up to discharge hospital 8-12 weeks Life longCondition Acute MI, CABG, Post angioplasty, Angina pectoris Phase 1 graduates, and CAD with risk factors Phase 2 graduatesMajor goals Prevent deconditioning, Patient an family education, functional mobilization, early hospital discharge Develop cardio vascular endurance [url=http://www.redskinsofficialnflproshop.com/authentic-sammy-baugh-jersey.h..., conditioning, complete return to work. Maintain life time exercise program for CVS maintenanceSupervision Highly supervised Highly supervised Home programMajor activity Program of progressive activity Aerobic exercise for 15 to 20 min Aerobic exerciseInitial intensity 2-3 MET increasing 1 MET gradually 70- 80 % 70 芒鈧€?75 %Monitoring HR & BP HR HROthers Pre-discharge stress test not more than 5 MET low fat diet. Most intensive and vigerous.5 min warm up & cool down. low intensity, high frequency NilGuideline for GraduationAge Male Female49 or less 10 MET 8 MET50-59 9 MET 7 MET60-69 8 MET 6.5 MET70 or above 7 MET 6.5 METAbsolute contraindications芒鈧?Unstable angina with recurrent chest pain芒鈧?Untreated arrythemia芒鈧?Uncompensated CHF芒鈧?Advanced AV block芒鈧?Acute myocarditis or pericarditis芒鈧?Aortic stenosis芒鈧?Sever hypertrophy cardiac myopathy芒鈧?Uncontrolled hyper tension芒鈧?Acute M I芒鈧?Active endocarditis芒鈧?Active pulmonary embolism芒鈧?Pulmonary infarction芒鈧?DVT芒鈧?Acute systemic illnessRelative contraindications芒鈧?Pulmonary hypertension芒鈧?Arterial hypertension芒鈧?Moderate valvular disease芒鈧?Myocardial heart disease芒鈧?Electrolytic abnormalities芒鈧?Coronary obstruction L main芒鈧?Psychiatric diseaseFacts on exercise physiology茂茠录 Aerobic capacity = measure the work capacity茂茠录 VO2 maxMaximum O2 consumption of whole body primarily due to skeletal muscle work.Expressed in mlO2Kg of body weightMinute.Represent aerobic capacity.It is the plateau in a graph of total O2 consumption Vs work load.茂茠录 Cardiac out put increases with increase in work.In early exercise CO elevation is due to augmented stroke volume (Frank Sterling Law.)In late exercise CO elevation is due to increase in HRSo increase in CO is due to SV & HR.茂茠录 Cardiac out put has linear relation with VO2The increase in O2 consumption ,the increased CO.Max CO is primary determinant of Vo2 Max.茂茠录 HR has a linear relation with O2 consumptionThe increase in O2 the increase in HR.茂茠录 Max HR decreases with age and regular exercise.茂茠录 MVO2Myocardial O2 consumptionHas linear relation with both work load and VO2HR & systolic BP are highly co related茂茠录 RPP rate pressure productHR X systolic BP 100If the RPP is high, there is increase in work on heart and increase in HR & systolic BP.Activities where MVO2 is grater than VO2Activities performed with upper limb,Activities performed in supine at low intensity. During smoking, s tress after eating, in cold weather, Purpose of exercise testCardiac risk stratificationDetermine the functional capacityDesign optimal aerobic program.Basic principalsUse the physiological response to exercise, to increase the physiological O2 demand on the myocardium [url=http://www.redskinsofficialnflproshop.com/authentic-samaje-perine-jersey..., which increase MVO2 which can revel the ischemic changes via the ECG Training effect of aerobicsPeripheral training effectIncrease O2 extraction and wider AV O2 difference grater skeletal muscle O2 uptake less O2 in venous blood less work for the heartMyocardial training effectAt least 1 mm decrease in ST depression at same RPP.Improved ventricular contractile function.Wider coronary vesselsAerobic training effectsImproved functional capacityIncrease in maximal CO2 & O2 consumptionDecrease in resting heart rate.Rapid return to sub normal HR.GoalsDecrease maximum O2 during sub maximal work loadReduced cardiovascular risk.Develop health productive behavioral mechanism wit increase quality of life.Complete return to work.patient educationFitnessIt is a general term indicating a level of cardiovascular functioning for optimal performance and well being.Fitness influenced by age, sex, hereditary, inactivity, and disease It can measureTime to run 1.5 mileDistance run in 12 minute.EnduranceIt is the ability to work for prolonged period of time and ability to resist fatigue.Depend up on O2 transport which is influenced byPulmonary function including diffusion and ventilation.O2 binding capacity of blood. (Blood volume and hemoglobin)Cardiac function (stroke volume and HR)O2 extraction capacities (capillary density)Muscular oxidative potential (mitochondrial enzymes)Determinants of an individual endurance is based on maximal aerobic power(VO2) max.VO2 max is measure of the power capacity of the O2 transport system.VO2 max id the maximum O2 volume can consume minute.VO2 max is also called aerobic capacity, aerobic power, max O2 up take, Max O2 consumption, endurance capacity.VO2 max (mlm) . [url=http://www.mlbbaseballsportsshop.com/]Jerseys Cheap[/url]   [url=http://www.footballsportsshop.com/]Jerseys Wholesale[/url]   [url=http://www.basketballsportsshop.com/]Jerseys Wholesale[/url]   [url=http://www.nfljerseyschina.com/]Throwback NFL Jerseys Cheap[/url]   [url=http://www.authenticsoccerjerseyscheap.com/]Authentic Soccer Jerseys Online[/url]   [url=http://www.authenticnhljerseyscheap.com/]Replica NHL Jerseys Wholesale[/url]   [url=http://www.authenticmlbjerseyscheap.com/]Custom MLB Jerseys Wholesale[/url]   [url=http://www.soccerchinajerseyscheap.com/]Authentic Jerseys From China[/url]   [url=http://www.nhlchinajerseyscheap.com/]Adidas NHL Jerseys Online[/url]   [url=http://www.mlbchinajerseyscheap.com/]MLB Baseball Jerseys Online[/url]