Exercise Prescription for a Healthy Heart

#1 - Basic Priniciples of Exercise Prescription

I. Basic Exercise Physiology.

a. Energy Systems.
b. Definition of aerobic and anaerobic exercise.
c. Normal responses to exercise.
d. Maximal oxygen consumption.
e. Define MET and how to calculate it.

II. General guidelines for exercise prescription.

a. Frequency
b. Intensity
c. Time
d. Type

Behavioral/Learning Objectives:

1. Explain the basic concepts of Exercise Physiology.
2. Describe what a MET is and how it is calculated.
3. Describe basic principles of exercise prescription.
   

#2 - Non Surgical Diagnosis: Angina, Myocardial Infarction (MI), and Perutaneous Intervention (PCI)

I. Pathophysiology of CAD.

a. How plaque is formed.

II. Angina definition and describe the signs and symptoms of angina.
III. MI definition and the signs and symptoms of MI.
IV. PCIs and examples of balloon angioplasty and stents.
V. The exercise prescription for angina patients.
VI. The exercise prescription for MI patients.
VII. The exercise prescription for PCI patients.

Behavioral/Learning Objectives:

1. Explain the pathophysiology of Coronary Artery Disease (CAD).
2. Explain the definition of angina, MI, and PCI.
3. Describe the exercise prescription for patients with angina, MI, and PCI.
   

#3 - Surgical Intervention: Coronary Artery Bypass (CABG), Valve Replacement, Pacemakers, and Implantable Cardioverter Defibrillators (ICD’s)

I. The CABG procedure.
II. The principles of exercise prescription for the CABG patient.

a. Appropriate time to begin resistance training.
b. Appropriate time to begin arm exercise.

III. Pathophysiology of valvular disease.
IV. Normal responses to exercise for valve patient.
V. The exercise prescription for valve patient.
VI. Pacemaker definition and ICD.
VII. Considerations for patients with fixed rate pacemakers.
VIII. Considerations for patients with rate responsive pacemakers.
IX. Considerations for patients with ICD’s.

Behavioral/Learning Objectives:

1. Explain the definition of CABG.
2. Identify the principles of exercise prescription for the CABG patient.
3. Describe the pathophysiology of valvular disease.
4. Identify the principle of exercise prescription for the Valve patient.
5. Explain difference between pacemaker and ICD.
6. Describe special considerations for pacemaker and ICD patients.
   

#4 - Congestive Heart Failure to Heart Transplant

I. The pathophysiology of CHF.
II. Precautions for CHF patient.
III. The exercise prescription for the CHF patient.
IV. Case study CHF patient.
V. LVAD definition.
VI. The exercise prescription for LVAD patient.
VII. Heart transplant procedure.
VIII. The exercise prescription for heart transplant patient.
IX. Special considerations for heart transplant patient.

Behavioral/Learning Objectives:

1. Describe the definition and pathophysiology of CHF.
2. Explain the exercise prescription for the CHF patient.
3. Describe the exercise prescription for the left ventricular assistive device (LVAD) patient.
4. List the components of an exercise prescription for a heart transplant patient.
   

#5 - Special Populations: Peripheral Artery Disease (PAD), Obesity and Diabetes

I. The pathophysiology of PAD.
II. The exercise prescription for the PAD patient.
III. The pathophysiology of Diabetes.
IV. Precautions of exercising the diabetic patient.

a. Regular monitoring of blood glucose.
b. Timing of exercise in relation to meals and medication.

V. The exercise prescription for the diabetic patient.
VI. Case study diabetic patient.
VII. Obesity definition.
VIII. The exercise prescription for obese patient.

Behavioral/Learning Objectives:

1. Describe the pathophysiology of PAD.
2. Identify the exercise prescription for PAD patient.
3. Describe the pathophysiology of Diabetes.
4. List the precautions of exercising the Diabetic patient.
5. Explain the exercise prescription for the Diabetic patient.
6. Explain the exercise prescription for the Obese patient.

#6 - Resistance Training for the Cardiac Rehab Patient

I. The benefits of resistance training for Cardiac Rehab patients.

a. Risks of resistance training

II. Risk stratification for resistance training

a. Which patients are appropriate for resistance training.

III. The exercise prescription for resistance training in different populations of Cardiac Rehab patients.

a. Exercise prescription for MI patients.
b. Exercise prescription for PCI patients.
c. Exercise prescription for Surgical patients.

Behavioral/Learning Objectives:

1. Identify the risks and benefits of resistance training for the Cardiac Rehab patient.
2. Describe how to determine which patients are ready for resistance training.
3. Describe the exercise prescription of resistance training for patients with angina, myocardial infarction (MI), percutaneous intervention (PCI), and surgical patients.
   

Accreditation Information

Nurses – Academy Medical Systems is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Academy medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9.0 hours. And we are also a provider approved by the Florida Board of Nursing, provider #50-19, for 9.0 hours.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR.) Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.

The AR Board of Physical Therapy has approved this course for 9 Contact hours. The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Respiratory Therapists – This program has been approved for 9.0 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100 Irving TX 75063 Course # 202798000.

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