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The general parameters of exercise prescription hold true for individuals who are healthy as well as those patients who have disease pathology. However, there must be some special considerations for those that have disease.
All exercise prescriptions are written using the modified Karvonen’s Formula to insure that the patient’s exercise training intensity is significantly lower than the maximum symptom limited exercise HR & BP values avoiding the onset of myocardial ischemia.
METs can be a useful measure for a variety of calculations particularly in terms of helping patients to understand physical work capacity (VO2 = ml/Kg/min measurements) or in terms of loosing weight (see next slide).
Sometimes the diastolic pressure rises 8 - 10 mm Hg pressure during exercise. If it rises more than this, consider referring the patient to their physician. In most cases, diastolic pressure remains the same or falls during exercise from its pre-exercise rest value.
Author: Microsoft Corporation
Home Page: http://jan.ucc.nau.edu/~daa/heartlung