Walking Program
You can check your pulse at your wrist . To take your pulse at your wrist :
1 . Place the first two fingers of one hand on the opposite wrist . ( Do not use your thumb , because it has its own pulse .)
2 . Gently press the fingers on your wrist toward the side below your thumb . You will feel a steady tap ( beat ) under your fingers .
3 . Count the number of beats for 1 full minute .
You may prefer to purchase a FitBit ® or other pulse watch .
Watching for Effort Symptoms
You need to watch for changes in how your body is handling activities . If you have any of the following symptoms , slow down . If the symptoms continue , stop the activity and rest . If your doctor has prescribed nitroglycerin , take it as directed .
Call 911 if these symptoms do not go away after you ’ ve rested for 5 minutes :
� Chest pain or tightness
� Pain in your arm , shoulder , neck , or jaw
� Shortness of breath � Unusual or extreme fatigue � Dizziness or lightheadedness � Nausea or vomiting � Severe sweating � Severe headache � Fast or irregular heart rate or pulse
Walking Program
You will begin your walking program the day after your procedure . Walking is an aerobic exercise that just about everyone can do . If you are not able to walk , or if you prefer a different form of aerobic exercise , such as swimming or riding a bike , check with your doctor . Aerobic exercise involves exercising the heart and lungs . A regular aerobic exercise program will give you a lifetime of benefits . It may decrease your risk factors and help prevent the progression of heart disease . It will also improve your overall health and emotional outlook .
After the first week , you may use a stationary bike or treadmill . The stationary bike should have little or no resistance so it will be easy to pedal . A treadmill should be level , without incline , or the “ grade ” should equal zero . Start at a very slow speed . Your doctor should approve any other form of exercise .
Here are some guidelines to follow with your walking program :
� Always let someone know when you are exercising , or exercise with a friend .
� Do your walking program when you feel your best .
� Follow the “ Walking Diary ” on pages 13-14 in order to progress at the proper speed .
� Take your pulse and check for effort symptoms with each activity .
� Write down your pulse on the diary sheet before , at the halfway point , and 1 minute after you are done walking .
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