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Contraindications for cardiac rehabilitation

Contraindications for cardiac rehabilitation
  • Unstable angina
  • Uncontrolled hypertension - resting systolic blood pressure (SBP) >180 mmHg and/or resting diastolic BP (DBP) >110 mmHg
  • Orthostatic BP drop of >20 mmHg with symptoms
  • Significant aortic stenosis (aortic valve area <1.0 cm2)
  • Uncontrolled atrial or ventricular arrhythmias
  • Uncontrolled sinus tachycardia (>120 beats/min)
  • Uncompensated heart failure
  • Third degree atrioventricular (AV) block without pacemaker
  • Active pericarditis or myocarditis
  • Recent embolism
  • Acute thrombophlebitis
  • Acute systemic illness or fever
  • Uncontrolled diabetes mellitus
  • Severe orthopedic conditions that would prohibit exercise
  • Other metabolic conditions, such as acute thyroiditis, hypokalemia, hyperkalemia, or hypovolemia (until adequately treated)
Reproduced with permission from: Pescatello LS. ACSM's Guidelines for Exercise Testing and Prescription, 9th ed, Lippincott Williams & Wilkins, Philadelphia 2014. Copyright © 2014 American College of Sports Medicine.
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