I don't think it's right to refuse it,or worse,to mislead the people telling that sport is not a proper activity for them. In fact the use of aerobics programs for cardiovascular patient meant one of the most important conceptual changes in healthcare for these affections.
 Cardiovascular diseases are an undeniable indication of all three types of aerobic exercises objectives: prevention, treatment,recovery. As long as Coronary artery disease makes  more and more  younger victims we can’t run away from these cases just because we don’t want to have such a big responsibility.
  The cardiovascular mortality is the first cause of mortality,being responsible for 40% of deaths. It is proven that a very well dosed and structured aerobic training program helps these cardiovascular disorders improvement. This improvement occurs even after a short period of training (8-12 weeks),an increase of aerobic performance by 20% being registered in this time.
 What should we take in consideration when we make a program for a person with cardiac disease.( Ischemic Cardiomyopathy, Angor pectoris,Acut Myocardial infarction, etc)

 -People have to be selected for entering into the program (clinical + effort tests).This has to be done by a specialist.
 -The programs are gradual in effort levels and have 4 phases (1-4).
 -The programs are made taking in consideration the effort capacity testing and should be adapted according with these tests improvement.

Training intensity:
 -it is considered necessary to do an exercise with 70% of the maximum effort capacity for every individual person
 -we appreciate the intensity in according with the cardiac frecquency of the effort.

Training frecquency:
 -training must be done several times a week (3-4 trainings weekly,separated by a day off)
 -increasing training frecquency over this value is not beneficial.But an increase of the patient’s muscular discomfort is a rule.
 -it’s good if the patient  does some light exercises,household activityes or walking in the day off,though.

Sportgames that involve very intense isometric effort or those with a very fast pace and games that don’t allow cardiorespiratory adaptation (judo, wrestling, football, basketball, rugby.) must be avoided.

- light exercises
-respiratory gymnastics
-ergometric bicycle
-walking daily or carpetmill for 30-60 minutes at 5km/h speed
-even jogging is allowed,but it has to be gradually,alternating with periods of walking in the begining
-the running speed has to be setted in accordance with the heart rate and the breathing confort
-other sports allowed:swimming,skiing,cycling.

It may seem quite complicated for some or quite simple for others,but the benefits brought to a patient who suffers from a cardiac disease are very important for his life.
Physical training has the following effects:
-increases the effort capacity and increases the maximum oxygen consumption.
-for patients who were more sedentary before the coronary accident,the training benefit is higher
-isotonic and isometric efforts are allowed (isometric efforts are accepted because it was proved that in fact they influence more the left ventricle’s function than the coronary circulation.so they are not risky.)
- to be effective,the effort must have a certain intensity,frequency and duration
-it develops the coronary circulation.
-other effects that act on the risk factors and the coronary heart disease : on the weight,on the lipids-discreases by 10-15% the total lipidemia,discreases more the tiglycerides and the total cholesterol,adjusts the blood pressure, on the mental condition,on the breath-lowers labor and contributes to lowering dyspnoea,reduces overall mortality by 20-25%.The training effect accurs in 8-12 weeks.
- Maintaining the effect is realized by keeping on with training during a undetermined period,doing 3-4 training weekly.
-The beneficial effect of the exercise disappears after 3-10 weeks.That’s why it must be continued as a way of life.

  In the next articles I will talk about venous insufficiency and atherosclerosis hoping that it will help you in your training programs.We have to remember that no matter what disease the person has,we should treat him/her with respect and the program has to be done different than the one for a healthy man.Even if,ethical or not,we often leave it to the doctor or worse,leave it to our patient.