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Advanced-Phase Cardiopulmonary Rehabilitation

Resistance and high-intensity progressive exercise program after cardiac disease.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Advanced-Phase Cardiopulmonary Rehabilitation?

Cardiopulmonary rehabilitation is delivered in three phases: Phase 1 (inpatient): early mobilization; Phase 2 (outpatient — 6-12 weeks): supervised exercise and risk factor management; Phase 3 (maintenance): lifelong home-based program.

CPET (cardiopulmonary exercise test) is used to determine VO2max, anaerobic threshold, and the exercise prescription. Advanced-phase programs include aerobic exercise at 70-85% HRmax, 2-3 sets at 60-80% 1RM resistance training, and breathing training.

HIIT (high-intensity interval training) has been shown to be safe and effective in cardiac rehabilitation in recent years. In pulmonary rehabilitation, IMT (inspiratory muscle training) and diaphragm activation may be added.

Symptoms

Post-MI period
2-4 weeks after CABG
Heart failure (NYHA II-III)
After valve surgery
COPD (GOLD 2-3)
Pulmonary hypertension

Risk Factors

Unstable angina
Decompensated heart failure
Uncontrolled arrhythmia
Active infection
Severe pulmonary hypertension
Acute DVT

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • 2-4 weeks after cardiac surgery or MI
  • COPD unresponsive to conservative treatment
  • Heart failure NYHA II-III
  • Exercise intolerance
  • When quality of life declines

Treatment Methods

01
Exercise prescription via CPET
02
Supervised aerobic exercise
03
Resistance training
04
Interval training (HIIT)
05
IMT (inspiratory muscle training)
06
Risk factor management education
07
Nutritional counseling
08
Psychosocial support

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.