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

Criteria and condition for cardiac rehabilitation session Specific Preparations for training session 1-Patient must wear comfortable shoes do not slip and well-suited clothes and suitable for weather. 2- Light eating meal 2 hours prior session. 3-Sufficient Drinking Pre- and post-training. 3- Heavy meal 3 hours before is prohibited. 4- No smoking for ≥ 1 hour. 5-Patient bring his GTN, medications, blood glucose monitor, bottle of water, bronchodilator, towel. 6-Patient must be free of chest pain, breathless, stomach pain, fever, cold, virus, cough, muscle pain, dizziness. 7- Patient capability depending on assessment pre –session must be known. 8- Compliance with the prescribed home exercise. 9- Double check with Risk stratification. During session Endurance exercise Cardiac training session must include Warm up Gradually increased HR 5-10min Main exercise Target heart rate 20-30min Cool down Gradually decrease heart rate 5-10min Warm up phase:  Begin with static stretching.  Begin gradually increase workload of heart and slowly raise to target exercise.  Mobilize joints and warm up all large muscles that will be recruited in the exercise training session.  By the end of the warmup the following should have been achieved:  A maximum of 40-50% of peak capacity (MET and vo2).  A maximum of 40% heart rate reserve (HRR).  A RPE - BORG <11 (RPE scale) or <3 (CR10). Conditioning phase  Frequency: at least 2-3 times weekly basis.  Intensity: Moderate intensity and patient must be trained at:  40%-70% HRR (VO2 max).  2 – 4 (CR10 scale).  11 – 14 (BORG RPE scale).  Duration; 20-40 MIN. Cool down phase  Gradually, training intensity for 10min with slower speed including stretch exercise.  Cool down should gradually conversely decline warm up in most respects.  Patient need 5-10mins of relaxation prior to leaving home. Resistance training  Resistance training held after aerobic training.  1RM testing is a safe tool for practice and preventing fatigue.  Focus on action of muscle group during training, rhythmical manner, full range of motion  Allow muscles to relax between exercises.  Consider good posture, and balance of antagonist muscle groups, avoid Valsalva maneuver hold, no excessive gripping of weights and no isometric exercises.  48 hours should be counted between resistance training sessions.  Resistance training for patients post heart open surgery is not permitted until the surgical wound completely healed and takes clearance from in charged physician and recommended to begin after 6week post sternotomy (96).  Cardiac surgery patients will take up to 12 weeks post-surgery to return to ordinary upper body resistance training (96).  40%-70% 1RM and probable Upper body 30 - 40% 1RM and Lower body 50 - 60% 1RM.  < Borg RPE 14 - 16 or 4 - 6 (CR10).  At least twice per week.  Training may reach 80% RM if patients are asymptomatic.  A set 2 – 4.  Perform 8 - 12 repetitions to boost strength and power.  Perform 15 - 20 repetitions to boost muscular endurance.