Issn Print: 0883-9212
Publication Date: 2006/07/01
NATURE AND FREQUENCY OF ADVERSE EVENTS DURING EXERCISE IN A MEDICALLY SUPERVISED OUTPATIENT CARDIAC REHABILITATION PROGRAM
Excerpt
The incidence of fatal and non-fatal cardiac events occurring during or shortly after cardiac rehabilitation exercise sessions is low. The infrequency of these events challenges the notion of onsite physician supervision during exercise. The interventional cardiac rehabilitation program (CRP) offered at the Cardiac Wellness Institute of Calgary (CWIC) utilizes risk stratification, based on the results of an initial treadmill test, to determine candidates for EKG telemetry monitoring. Patients attend this community-based, onsite medically supervised exercise program for one hour twice per week for a period of up to twelve weeks. Exercise sessions are directly supervised by Exercise Specialists with Registered Nurses available in the exercise area to triage patient symptoms and determine the need for further assessment by the onsite physician. The purpose of this investigation was to: 1. Quantify the nature and frequency of adverse events during supervised exercise at the CWIC; and 2. Determine whether a relationship exists between the frequency of adverse events and patient risk stratification (RS) and/or telemetry monitoring.
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