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    Smart Heart Seminar posted in the group Smart Heart Seminar

    3 years, 6 months ago

    Hi, I’m interested to know Professor Buckley’s view on cardiac rehab for ARVC patients. Is exercise safe for these people?

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    • First thing is, what do we define as exercise? ARVC is Arrhythmogenic Right Ventricular Cardiomyopathy. Dr Contractor might want to comment, but I can’t give a blanket recommendation on a question like that, it needs careful evaluation. But when we talk about exercise, what do people mean by this? We have light-intensity exercise, moderate-intensity exercise, high-intensity exercise, depending on who you are and what you need to do, you can gain benefits from being active in any one of those zones. We have to design the program to what’s both safe and beneficial to the patient/client. If we can monitor people, we can determine at what level they’re going to be safe. We can only push people to the limit of safety. Lots of watches give you zones to work on, but they’re not specific to that person, they’re specific to a population. So when it says one size fits all, it means it doesn’t actually fit anybody. So a light-intensity activity to Paula Radcliffe is a high-intensity exercise to me. She can do a light workout at six minutes a mile. That’s a warm-up. I was happy to run a half marathon at the age of 30 at that pace. She would have been going around twice as quick almost. So I think we need to be careful of how we define what exercise is for each individual.

      • I’d just like to add a bit more to Prof Buckley’s answer. So, yeah, ARVC potentially could be something which needs serious evaluation. I think you must meet with your doctor, preferably a sports cardiologist who understands it. And then based on the patterns of his ECG, you can be given exercise advice. It would be difficult to give advice over such a platform.

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