Can patients with coronary heart disease exercise? What are the precautions?

Most patients with coronary heart disease can exercise in moderation to exercise. The following points should be noted in patients with coronary heart disease:

Can patients with coronary heart disease exercise? What are the precautions?

Assessing exercise

Patients with coronary heart disease should consult a doctor before exercise to determine whether they can participate in sports and physical exercise, as well as the amount of exercise. Patients with mild and stable disease can do self-assessment, squat 10-20 times in a row or jog for 15 seconds in situ. If there is no discomfort, exercise can be performed.

Develop appropriate exercise intensity

The exercise items of patients with coronary heart disease should determine the appropriate amount of exercise according to the age, sex, constitution and severity of coronary heart disease, so as not to cause chest tightness and angina, and adjust according to the reaction during exercise. Exercise is chest pain, chest tightness, difficulty breathing, cold sweat, dizziness, nausea, fatigue, should stop exercising immediately, if necessary, please consult a doctor.

Choose exercise time

Patients with coronary heart disease have high coronary artery tension in the morning and are prone to cardiovascular accidents such as angina pectoris, myocardial infarction, and sudden death, especially from 5 am to 11 am, so the best exercise time for coronary heart disease is in the afternoon. Activities cannot be carried out immediately after a meal. It is generally recommended to start exercise 1-2 hours after a meal. Walking after a meal is also a good choice.

Avoid inappropriate sports

Patients with coronary heart disease need to avoid vigorous and competitive sports activities; it is strictly forbidden to swim in unsupervised areas; do not take deep breathing and exercise related to breath holding. It is not advisable to wash the hot water bath immediately after the activity, nor to wash the cold water bath. Because the blood vessels can be contracted and the peripheral resistance is increased, it is easy to induce myocardial infarction or angina pectoris.

Pay attention to step by step

Exercise patients with coronary heart disease should be persevering, step by step, from slow to fast, from easy to difficult, from simple to complex, gradually increase the amount of exercise and exercise time, not eager to seek or halfway.

Other considerations

  • 15 minutes of preparation should be done before exercise, and there should be enough relaxation time after exercise.
  • When you are at high temperatures or in cold, reduce the amount of exercise or change your exercise.
  • The location of the event should be chosen at the place of residence or workplace to promote peer training.
  • You should carry first aid medicine while you exercise.

Prohibition of exercise

Those who have the following conditions should be prohibited from exercising or strictly limit the amount of exercise.

  • Patients with acute myocardial infarction, severe heart failure, frequent severe angina, and a history of severe arrhythmias with ventricular tachycardia.
  • Arrhythmia such as frequent premature ventricular contractions and supraventricular tachycardia, marked enlargement of the heart, heart failure above poisoning, and severe diabetes have not been well controlled.
  • There are conduction block, implanted pacemaker, taking digitalis, and hypertension is not well controlled.

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