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During the aerobic training sessions in the gym, patients used heart rate monitors to maintain the prescribed heart rate and therefore control exercise intensity.
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These subjects performed endurance exercise in or above the prescribed target heart rate zone 83% of the time.
But her doctor continues to prescribe heart disease medications.
Exercise intensity is prescribed using target heart rate zones developed and validated specifically for overweight and obese pregnant women [ 25].
Exercise intensity was prescribed by target heart rate range calculated using the Karvonen formula (24); heart rates were monitored during exercise with chest-strap heart rate monitors (Polar Electro Inc., Lake Success, NY).
That is, for every 1% increase in maximal heart rate prescribed (between 60 and 91% HRmax), the relative risk of PCI with the intervention compared to usual care increased by 5%.
Study quality could be improved by detailed reporting of demographic and clinical data of the study groups at baseline, exercise protocol and adherence to interventions (attendance rates, adherence to prescribed intensity assessed by heart rate telemetry), creation of a standardised protocol to report adverse events and use of standard outcome measures.
Training intensity will be prescribed relative to the peak heart rate (HRpeak) achieved during the 5TT.
Patients will attend two weekly sessions and aerobic exercise will be prescribed at 40 60% of heart rate reserve.
Subsequently, aerobic exercise will be prescribed at 40 60% of heart rate reserve (Karvonen Formula) based on baseline exercise stress test data.
Fig. 6 Relationship between the highest intensity of exercise prescribed (as a percentage of maximal heart rate) and the relative risk of percutaneous coronary intervention compared to usual care (p = 0.047).
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