Practical Recommendations for High-Intensity Interval Training for Adults with Cardiovascular Disease

Abstract

Apply It! • High-intensity interval training (HIIT) can be implemented safely in adults with cardiovascular disease (CVD) after a graded exercise test assessing exercise responses at a high intensity (e.g., to 85% heart rate peak [HRpeak] or a rating of perceived exertion [RPE] of 15). • Always involve the patient in the decision-making process for selecting the mode of exercise to perform HIIT to increase adherence, compliance, and enjoyment to the exercise program. • Given the low exercise tolerance that is typically experienced by patients with CVD, short duration high-intensity bouts (e.g., 30 seconds to 1 minute) may be necessary to increase exercise tolerance and self-efficacy. Active or passive recovery interspersed between high-intensity intervals should be equal to or greater than the duration of the high-intensity intervals. Passive recoveries should be avoided if a person experiences vasovagal symptoms/events.