(File Date: 2026-02-20 10:24:03) الدليل السعودي لبرامج إعادة التأهيل القلبي والو

Specific protocols 2.2.12.1 Chronic heart failure Type of training Intensity Duration Frequency and length Aerobics (stationary cycling-walk-treadmill- 30%-80% hear rate reserved-50- 80%MHR-12-14 Borg perceived exertion. 30min. 4 sessions a week for 12 weeks Resistance training 40–60% 1RM 2–3 set (8–15rep) 2–3 days week 2.2.12.2 Coronary heart disease Type of training Intensity Duration Frequency and length Aerobic exercise: walking, jogging, cycling, swimming, rowing, stair climbing, elliptical trainers, aerobic dance Aerobic exercise: 50%-75% of peak VO2 or close to anaerobic threshold, or 65%-85% of maximal heart rate; 10-15 beats/min below the level of exercise- induced ischemia at least 20-30 min (preferably 45-60 min) least 5/wk. Resistance training: hand weights, elastic bands, 10-15 repetitions; 1-3 sets of 8-10 different exercises for both 2-3 sessions/wk. weight machines, calisthenics upper and lower extremities 2.2.12.3 Patients treated with an implantable cardioverter defibrillator (ICD) Type of training Intensity Duration Frequency and length Aerobic exercise 50– 80% of their estimated maximum heart rate, calculated by Karvonen’s formula 30-40min began after three months and lasted for 12 weeks with sessions twice a week Resistance training 60–80% of one- repetition maximum began after three months and lasted for 12 weeks with sessions twice a week 2.2.12.4 Patients surgical prosthetic valve implantation for aortic stenosis Type of training Intensity Duration Frequency and length Aerobic exercise arm ergometer or cycle 70% of the maximum predicted peak heart rate (HR 30min 6-day week 2.2.12.5 Patients with controlled arrhythmias affected by coronary artery disease and type 2 diabetes. Type of training Intensity Duration Frequency and length Aerobic exercise arm ergometer or cycle Reach 80% of the maximum heart rate 30min 5 weeks 4 sessions per week 2.2.12.6 Patients After Coronary Artery Bypass Grafting Surgery Type of training Intensity Duration Frequency and length Aerobic exercise arm ergometer or cycle 70-80% HRmax 30min 6 wk. 3 times/wk. 2.2.12.7 Patients with Myocardial Infarction Type of training Intensity Duration Frequency and length Aerobic exercise arm ergometer or cycle 70% to 85% of heart rate attained during baseline symptom- limited exercise test 35min 24 sessions 3 times/wk. 2.2.12.8 Patients with Angioplasty Type of training Intensity Duration Frequency and length Aerobic exercise arm ergometer or cycle 60% of peak oxygen uptake (VO2) 30 min 2 times/wk six month 2.2.13 Calculating heart reserve rate: If Training intensity was 40 – 70% HRR Patient at rest with HR of 60 bpm and achieves a HRmax of 155 during a maximal ECG exercise test. Calculation of HRR = 155 – 60 = 95 bpm. Selection of % of HRR 40% of HRR = 0.40 x 95 = 38 38 + 60 = 98 bpm 70% of HRR = 0.70 x 95 = 66.5 66.5 + 60 = 126.5 THR Result: 40 – 70% HRR = 98 to 126.5 bpm 2.2.14 Safety principles in cardiac rehabilitation Venue and environment  The recommended size of the gym should be sufficient for patients and equipment.  Environmental Risk assessment should be regularly done.  Safe Zoon of Temperature between 18-23oC.  Well ventilation gym.  Equipment should be maintained in accordance with local protocols and staff must be aware of operation and safety according to the company booklist.  Infection control procedures should be followed by health practitioners (hand washing- cleaning of equipment- disposal of sharps -Personal protective).  At all times, drinking water must be available.  Crush Car should be accessible and intervened in critical time.  Crush Car must be daily checked.  Oxygen delivery devices.  Fire and telephone system must be available and accessible.