Before each class and indeed any structured exercises and physical activities during your week give a second to think how you are feeling. Listed below are several reasons why you may want to skip a class or at least to get in touch with myself or a GP.
- Unstable Angina (Are you feeling short of breath, fatigued and/or tight in the chest at a lower intensity than usual or at rest? Are you using your GTN spray more frequently?)
- Unstable Diabetes (Have you had a recent Hypo or Hyper? Do you check your sugars regularly, if so has there been a marked change? Are you taking your medications?)
- Unstable or Acute Heart Failure (If you are aware of any changes or you have not taken mediations it is your responsibility to let me know before a class).
- New/Uncontrolled Arrhythmias (If you are aware of this please let me know).
- Resting or uncontrolled tachycardia (Resting Heart Rate above 100 beats/min)
- Resting Blood Pressure 180/100 (One or both) (Your systolic BP rises with exercise, if at rest it is already heightened you may put yourself in a risky position during class. If you know it has been raised let me know before class. *If you have noticed a steady increase in your BP over the last weeks and months in general either let me know or raise it with your GP.
- Symptomatic Postural Hypotension (Dizziness or lightheadedness or if you have recently fainted)
- Febrile illness (Have you been sick, had a temperature in the past week, do not over stress your system if you are still recovering).
It is worth stating that if you know you have not taken your medications, especially for those with devices (pacemakers and CRT-D) that you let me know. Without the medications your heart rate and blood pressure may put you at unnecessary risk in a class.
Please do not take any unnecessary risks. Generally the classes remain a very safe environment as we complete a very structured routine but this is dependent on your honesty and understanding of the requirements. Get in touch if you have any concerns. Thank you.
Reference:
British Association for Cardiovascular Prevention and Rehabilitation (BACPR) (2016) Exercise Programming and Prescription, Fourth Edition, London
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