View source for CARDIAC REHABILITATION-PHASE 1 (ACUTE PERIOD, 1-2 WKS)

===== [[Summary Article|'''SUMMARY''']] =====
1. Begins in CCU soon after arrhythmias, during acute inpatient hospitalization. CHF &amp; ischemia are managed. 
<br/>2. Exercise tolerance testing for risk stratification &amp; exercise prescription.
<br/>3. First 14 days, lasts till discharge from the acute hospital, <i>the only phase that occurs inpatient.</i>
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<br/><i>THERAPY</i>
<br/>4. Most centers use a modified Wenger program with incremental progression from bed rest to stair climbing (at discharge).
<br/>5. Rapid mobilization when safe. 
<br/>6. Low intensity activity: 1-2 MET. Use bedside commode for toileting (3.6 MET). 
<br/>7. Avoid isometric exercises (increases HR), Valsalva (promotes arrhythmias), raising legs above heart (increases preload). 


==Reference(s)==
Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. [https://amzn.to/3SaP42r Get it on Amazon.]
<br/>Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. [https://amzn.to/417imTk Get it on Amazon.]
<br/>O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. [https://amzn.to/3Kc2MA2 Get it on Amazon.]

[[Category:Cardiac Rehabilitation]]
[[Category:Rehabilitation]]