Patient Education Caring For Your Heart Booklet | Page 11

Cardiac Rehab  Saunas and hot tubs Inpatient Cardiac Rehab  Straining when using the toilet  Worrying about things you cannot change Inpatient cardiac rehabilitation begins once you enter the hospital with a heart problem. During this phase, we will help you identify your risk factors and plan ways to reduce the chance of further heart problems. Taking care of your heart while increasing your activity level is a key part of rehabilitation. Checking Your Heart Rate Checking your heart rate is a way to monitor your heart’s response to activity. Taking your pulse is a simple way to check your heart rate. Each day, you will need to know your resting heart rate. To fi nd this, take your pulse for 1 full minute before activity when your heart is at rest. Do this when you are sitting or lying down. Regular exercise can help lower your resting heart rate, which decreases the workload on the heart. Things to Do  Take your medicine as prescribed by your doctor.  Make an appointment to see your doctor in 2 weeks.  Know when to call 911 (see page 7). Next, you need to know your target heart rate. Your target heart rate is your resting heart rate plus 20 beats. For example, if your resting heart rate is 66, your target heart rate is 86. Your target heart rate may change each day depending on your resting heart rate.  Follow the diet prescribed by your doctor and dietitian.  Follow your walking program.  Get a good night’s sleep each night. Take rest periods between activities.  Ask your doctor when you are able to drive, travel, and return to work. Resting Heart Rate + 20 Beats = Target Heart Rate  Follow any other instructions your doctor gives you. You will be taking your pulse before, during, and after activity. During activity, your heart rate should not rise above your target heart rate. If you fi nd your pulse is more than 20 beats above your resting heart rate, slow down. You may increase your activity again once your heart rate slows down. Continue to take your pulse and check for effort symptoms (listed on page 11). Stop the activity if your heart rate does not slow down. Things to Avoid  Smoking  Pushing, pulling, or lifting anything heavier than 5 pounds  Holding your breath while doing activities  Extra trips up and down stairs  Very hot or cold baths or showers 10