Heart patients should skip strenuous calisthenics

Dr. Anup Shah specializes in knee and shoulder surgery.

A: Heart disease is a leading cause of death in the United States. By following a well-balanced diet and exercise routine, the risk of heart disease is decreased. Developing a stretching and strengthening program in addition to a cardiovascular program is beneficial. I recommend about 30 minutes of exercise, four to five times a week.
Q: How should these exercises be amended for age?
A: If you have known medical comorbidities (related diseases), seek medical consultation prior to engaging in exercise. Avoiding high impact exercises and straining is recommended. Developing a resistance program that develops muscle strength and endurance is beneficial.
Q: Are there certain exercise plans or routines for people who have had heart attacks or strokes?
A: My recommendation is that every patient who has suffered a heart attack or stroke should talk with their cardiologist about an after-care plan. Every patient’s situation is different and requires the expertise of their own personal physician to help guide them in their specific exercise regimen.
Q: What are some resources patients can use to find appropriate exercises?
A: I just tell patients to Google them (or contact) fitness centers, fitness clubs and friends.
Q: What professional tips do you have for anyone looking to improve their blood pressure?
A: If the patient is overweight, then weight loss is recommended: Eat a well-balanced diet, decrease sodium and alcohol intake, and regular exercise – but be sure to speak with your doctor before beginning a new exercise regimen.
Q: What exercises should people with heart conditions avoid?
A: Make sure your exercise is paced and balanced. Certain exercises that involve straining are discouraged, such as pushups and situps. Avoid working out in extreme temperatures, stay hydrated and always speak with your doctor before beginning a new exercise regimen.

NAME: Anup Shah, M.D.
PRACTICE: Kelsey-Seybold Clinic, 2727 West Holcombe Blvd., Houston
EDUCATION: Orthopedic Surgery residency, Health Science Center at San Antonio; Arthroscopy/Sports Medicine, Baylor College of Medicine, Houston; Shoulder Reconstruction, Harvard Medical School/Massachusetts General Hospital
EXPERIENCE: Knee and shoulder surgeon

Mark DeHaven is a freelance writer. He can be reached at neighborhoods@chron.com.