How ECG Rhythms Impact A Patient's Activity Tolerance

presented by Jennifer Ryan

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The course will describe the principles of electromechanical coupling that augment healthy cardiac function and adequate bloodflow to allow progressive exercise tolerance. With a thorough understanding of healthy function, the impact of arrhythmias will then be discussed. In a variety of practice settings, patients present with a variety of arrhythmias, yet still perform daily functional activities and exercise. The challenge to the therapist that this course will address is to identify the appropriate measurements used to determine a patient’s readiness for exercise as well as their tolerance of an exercise intervention. A review of the latest research on premature ventricular contractions and atrial fibrillation will be included in the review of the literature.

Meet Your Instructor

  • Jennifer Ryan, PT, DPT, MS, CCS

    Jennifer Marie Ryan, PT, DPT, MS, CCS, graduated from the Physical Therapy program at the University of Illinois in 1990 and went on to complete both a Master of Science in Physical Therapy and a Transitional Doctor of Physical Therapy degree at Rosalind Franklin University of Medicine and Science. In July 2006, she was awarded board certification as a Cardiovascular and Pulmonary Clinical Specialist by the American Board of Physical Therapy Specialties. In 2012 she was awarded the Mary Sinnott Award for Excellence in Acute Care and she was awarded the Acute Care Section Lecture for 2014. Throughout her physical therapy career, she has specialized in physical therapy care for critically ill patients. In her current position at the University of Chicago Medical Center she mentors staff and students about management of acutely ill patients along with her patient care. Her teaching in the area of cardiovascular and pulmonary physical therapy includes several continuing education seminars, and as a contract faculty member in the Department of Physical Therapy and Human Movement Sciences, Northwestern University, Feinberg School of Medicine.
    She serves as: a delegate from the Illinois Chapter of the American Physical Therapy Association, the Education Chair for the Cardiovascular and Pulmonary Section of APTA, and as a member of the Subject Matters Expert Task Force of the Acute Care Section of APTA. She founded Rehab Education Formula, an online resource for therapist-focused education.

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Chapters & Learning Objectives

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  1. Electromechanical Coupling

    1. Electromechanical Coupling

    This chapter will discuss the role of the cardiac valves in the pressure difference between diastole and systole and cover the sequence of the propagation of a normal cardiac electrical impulse. The chapter will describe the interrelationship between the electrical and mechanical function of the heart.

  2. Sinus Rhythms or Arrhythmias: What Defines a Problem?

    2. Sinus Rhythms or Arrhythmias: What Defines a Problem?

    This chapter will cover a normal sinus rhythm and teach participants how to recognize when the components between complexes are not consistent. The chapter will identify and describe the determinants that define a patient’s tolerance of exercise interventions.

  3. Supraventricular Arrhythmias Pathophysiology and Presentation

    3. Supraventricular Arrhythmias Pathophysiology and Presentation

    This chapter will teach learners to identify rhythms that have p wave abnormalities and explain the reason why cardiac output is compromised in supraventricular arrhythmias. The chapter will identify and describe the determinants that define a patient’s tolerance of exercise interventions.

  4. Exercise Considerations in Patients with Atrial Fibrillation and Atrial Flutter

    4. Exercise Considerations in Patients with Atrial Fibrillation and Atrial Flutter

    This chapter will discuss rate control versus rhythm control and describe the definition of rate control as it applies to exercise prescription. The chapter will identify and describe the determinants that define a patient’s tolerance of exercise interventions.

  5. Ventricular Arrhythmias Pathophysiology and Presentation

    5. Ventricular Arrhythmias Pathophysiology and Presentation

    This chapter will discuss unifocal versus multifocal PVC’s, define the difference between a radial pulse and heart rate and name the determinants that define a patient’s tolerance of exercise interventions.

  6. Supplemental Handouts

    6. Supplemental Handouts

    Supplemental handouts to print and use for clinical reference.