Phase II Cardiac Rehabilitation Quiz

Which EKG rhythm is characterized by the rapid and irregular beating of the atrial chambers of the heart?

Which EKG rhythm may start as other forms of arrhythmia such as atrial flutter and often has no symptoms?

Which EKG rhythm is associated with an increased risk of heart failure?

Which EKG rhythm is characterized by abnormal beating that becomes longer or continuous over time?

Which EKG rhythm may occasionally cause heart palpitations, fainting, lightheadedness, shortness of breath, or chest pain?

What is the goal for LDL in lipid management?

What intervention is advised if LDL is above 100mg/dl in lipid management?

What is the optimal blood pressure goal in hypertension management?

What is the advised intervention if blood pressure is above 140/90 mmHg in hypertension management?

What are the goals for diabetes management in terms of fasting plasma glucose and HbA1c?

Cardiac Rehabilitation Phase II

Phase II begins after hospital discharge and lasts up to 8 weeks, usually in a hospital setting for constant monitoring.
Goals of Phase II:
- Provide a safe, monitored environment for exercise
- Increase work capacity through exercise conditioning
- Teach patients to monitor their own responses to exercise (e.g., heart rate, Borg Scale)
- Relieve anxiety and fear
- Continuously educate patients on various topics (e.g., food preparation, medications, smoking cessation, cardiopulmonary anatomy, risk factor modification)

Monitoring During Phase II

Blood pressure (less than 160 mm Hg at rest)
Heart rate (less than 140 bpm at rest)
Telemetry EKG
Anginal scale
Dyspnea scale
Borg scale

Cardiac Rehabilitation Objectives

Early mobilization and adequate discharge planning
Risk factor assessment and risk stratification
Providing information on diagnosis, risk factors, medications, and work/social issues
Involvement and support of the partner and family

Definition and Duration of Phase I

Refers to the period of hospitalization following an acute cardiac event
Duration varies depending on the initial diagnosis, severity of the event, and individual institution
Usually one week (acute event/post-operative)

Cardio-Protective Therapies

Anti-platelet therapy
Lipid-lowering therapies
Beta-blockers (post myocardial infarction)
ACE inhibitors/ARBs (angiotensin receptors blockers)
Calcium channel blockers
Anticoagulant therapy (if necessary)
Diuretics (if necessary, e.g., for heart failure)

Test your knowledge of Phase II cardiac rehabilitation, including exercise monitoring and patient goals. This quiz covers the next stage of cardiac rehabilitation after hospital discharge and lasts up to 8 weeks.