Cardiac Rehabilitation: Monitoring Your Body's Response to Exercise - Topic Overview
Angina symptoms are caused by your heart
muscle not getting enough blood flow (myocardial ischemia). Your angina may feel like chest pain or discomfort. But you might feel it in other parts of your body. In any case, note if
increased effort leads to any symptoms that can be relieved by rest or
For some people with heart problems, angina always occurs during
activity. And these people must monitor the severity of the pain or stop doing
the activity. Other people with heart problems rarely or never have angina.
Either way, it is important that you recognize angina and know what is usual
Unless your doctor has specifically told you differently, you
should stop exercising when you feel chest discomfort. Talk to your doctor
about when you should call about chest discomfort. There are also medicines
your doctor can suggest that you may be able to carry with you to treat your
Shortness of breath
If you have difficulty breathing during exercise, your heart may be
having trouble keeping up with the intensity of your exercise. This difficulty
breathing or shortness of breath is called dyspnea. The dyspnea rating scale
will help you identify how difficult your breathing has become.
Your level of dyspnea during exercise will vary depending upon your
cardiac history and current health status. Your health professionals'
recommendations for an acceptable level of dyspnea will also vary.
Dyspnea rating scale
|Rating number||Amount of dyspnea|
|2||Mild, some difficulty|
|3||Moderate difficulty, but can continue|
|4||Severe difficulty, cannot continue|
By monitoring your level of dyspnea, you can find out the level of
exercise intensity that is most appropriate for you. Usually, you want to keep
your dyspnea level during exercise lower than a level 3. Report to your doctor if and when you experience any abnormal shortness of breath.
An exercise diary is an excellent way to keep track of your current
aerobic level as well as identify improvement. With each note you should record
the time, distance, and mode of activity. Include any additional information
such as weather conditions, clothing, specific terrain, time of day, and
A sample exercise diary
| Date|| Activity|| Time|| Comments|
|3/15/2010||Walking||25 minutes||Went approximately 1.5 miles. Weather was a little
windy so I wore a sweater. Stayed on the footpath. Overall it felt good with no
pain. I did 10 minutes of stretching when I got home.|