Phase II Cardiac Rehabilitation Quiz

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)