Case Study 1 -Acute Coronary Syndrome – Had a heart attack last year. June is a 70-year old female who will be entering your Phase II Cardiac Rehab. class today. Her medical history is as follows: Cardiac History: Anterior MI (heart attack) with PTCA & stent placement to the left circumflex artery on 8/18/21. Other medical history: Hyperlipidemia, smoker- quit 5 years ago. Medications- Lipitor- cholesterol medication, Coumadin- a blood thinner, Enteric coated aspirin- also prevents clotting, Toprol – Betablocker med for Blood Pressure control, Nitroglycerin as needed for chest pain Graded Exercise Test: Not available 1. Do a google search to look up the medications June takes, and notice their effects. Which of these drug side effects may affect June’s exercise prescription from what you can find? 2. Write an exercise prescription for June. Use your FITT principle to help you but make sure you state any precautions or considerations you for June, since she is an ACS patient.

Case Study 1 -Acute Coronary Syndrome – Had a heart attack last year. June is a 70-year old female who will be entering your Phase II Cardiac Rehab. class today. Her medical history is as follows: Cardiac History: Anterior MI (heart attack) with PTCA & stent placement to the left circumflex artery on 8/18/21. Other medical history: Hyperlipidemia, smoker- quit 5 years ago. Medications- Lipitor- cholesterol medication, Coumadin- a blood thinner, Enteric coated aspirin- also prevents clotting, Toprol – Betablocker med for Blood Pressure control, Nitroglycerin as needed for chest pain Graded Exercise Test: Not available 1. Do a google search to look up the medications June takes, and notice their effects. Which of these drug side effects may affect June’s exercise prescription from what you can find? 2. Write an exercise prescription for June. Use your FITT principle to help you but make sure you state any precautions or considerations you for June, since she is an ACS patient.