AACVPR CCRP study materials
AACVPR CCRP study resources

AACVPR CCRP study plan

AACVPR CCRP · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Patient Assessment and Risk Stratification

  • Assign each of 10 written patient vignettes to the correct AACVPR risk category (low, moderate, high) and justify the assignment with at least two supporting clinical data points

  • Interpret pre-participation data from each vignette: LVEF, functional capacity in METs, resting ECG rate/rhythm, resting BP, and 6-minute walk distance

  • Differentiate absolute and relative contraindications to exercise training and match each contraindication to the action it requires (defer, modify, or proceed with monitoring)

  • Distinguish indications for symptom-limited versus submaximal exercise testing in inpatient and outpatient cardiac rehab settings

Your checkpoint

A 10-vignette risk stratification worksheet with risk category, monitoring level, and written justification for every case

Week 2

Patient Assessment and Risk Stratification & Exercise Testing and Exercise Training Prescription

  • Sequence a complete pre-exercise assessment for each of 5 cases, listing the data that must be collected and the decision each data point drives

  • Identify rate, rhythm, and ischemic changes on 15 single-lead rhythm strip descriptions and state whether exercise should start, be modified, or be withheld

  • Calculate target heart rate three ways (%HRmax, Karvonen, and heart rate reserve-derived range) and reconcile disagreements using RPE and rate-pressure product

  • Classify 8 case descriptions by NYHA functional class and Canadian Cardiovascular Society angina class and state the exercise implication of each class

Your checkpoint

A completed assessment-to-prescription template for 5 cases, each showing three independently calculated heart rate targets plus the RPE backup range

Week 3

Exercise Testing and Exercise Training Prescription

  • Write full FITT prescriptions (frequency, intensity, time, type, progression) for 8 profiles: post-MI, post-CABG, HFrEF, post-PCI, stable angina, PAD, cardiac transplant, and older adult with frailty

  • Convert between treadmill speed and grade, METs, watts, and VO2 for 12 worked problems and check each answer against a second method

  • List indications, contraindications, and absolute termination criteria for graded exercise testing and match each to a sample scenario

  • Interpret 10 graded exercise test summaries for ST segment change, chronotropic response, heart rate recovery, blood pressure response, and exercise-induced arrhythmia

Your checkpoint

An 8-case FITT prescription set plus a one-page, self-written exercise test interpretation reference covering the five interpretation categories

Week 4

Exercise Testing and Exercise Training Prescription & Cardiovascular Disease, Pharmacology, and Risk Factor Management

  • Adjust exercise intensity, monitoring, and progression for patients taking beta blockers, diuretics, nitrates, and rate-controlling agents, stating the physiologic rationale for each adjustment

  • Describe how to modify the training session for a patient with diabetes (glucose timing, foot care, hypoglycemia signs) and one with COPD or claudication

  • Explain warm-up, cool-down, and resistance training parameters, including sets, repetitions, and frequency, for cardiac rehab participants

  • Complete a timed mixed-domain self-assessment and tag every missed item to a domain and sub-topic

Your checkpoint

A 40-question mixed-domain self-quiz (self-authored from study notes) scored and logged, with an error log tagging each miss to a domain

Week 5

Cardiovascular Disease, Pharmacology, and Risk Factor Management

  • Build a drug class table for antiplatelets, anticoagulants, beta blockers, ACE inhibitors/ARBs/ARNI, MRAs, SGLT2 inhibitors, statins, and diuretics listing mechanism, key monitoring parameter, and exercise-relevant effect

  • State current guideline targets for LDL cholesterol, blood pressure, HbA1c, physical activity minutes, and tobacco cessation and match each to a counseling script

  • Describe exercise considerations and precautions for heart failure, atrial fibrillation, valvular disease, and peripheral artery disease

  • Identify the exercise-relevant adverse effects that require holding a session or notifying a clinician

Your checkpoint

A completed pharmacology table with at least 8 drug classes and 3 columns, plus 60 self-written flashcards covering drug effects and risk factor targets

Week 6

Cardiovascular Disease, Pharmacology, and Risk Factor Management & Cardiac Rehabilitation Foundations and Program Management

  • Outline the core components of a cardiac rehab program, including patient assessment, nutritional counseling, risk factor management, psychosocial support, and physical activity counseling

  • Draft an emergency preparedness plan covering equipment, drill frequency, roles, and documentation for a cardiac rehab gym

  • Explain staffing ratios, staff competency requirements, and equipment standards for a program of a stated size

  • Describe the outcome measures a program must track and how each is calculated or reported

Your checkpoint

A one-page mock emergency response and drill protocol plus a one-page outcomes summary defining 6 outcome measures and their calculation method

Week 7

Cardiac Rehabilitation Foundations and Program Management

  • Map the referral pathway from hospitalization to enrollment and list three strategies that address each of the top enrollment barriers

  • Describe coverage and reimbursement rules that govern cardiac rehab participation, including eligible diagnoses and session limits

  • Translate accreditation and quality requirements into a checklist a program manager could audit against

  • Design a quality improvement cycle for a stated program problem, including measure, target, intervention, and re-measurement

Your checkpoint

A 3-page mock program plan covering referral pathway, enrollment strategies, staffing, emergency readiness, and one quality improvement cycle

Week 8

Cardiac Rehabilitation Foundations and Program Management & Patient Assessment and Risk Stratification & Exercise Testing and Exercise Training Prescription & Cardiovascular Disease, Pharmacology, and Risk Factor Management

  • Complete two timed 100-question practice exams under exam conditions and record domain-level percentage scores

  • Re-teach and re-test every missed item until each weak sub-topic is answered correctly twice

  • Consolidate the four domain reference sheets into a single one-page pre-exam summary of numbers, thresholds, and formulas

  • Recalculate readiness per domain and schedule final review time in proportion to the lowest domain score

Your checkpoint

A completed error log showing at least 90% of missed items re-taught and re-tested to correct, plus a final domain-by-domain score summary

Milestones

Week 1: Score at least 8 of 10 vignettes in the risk stratification worksheet correctly, including the monitoring level for each

Week 2: Produce three independent heart rate targets for all 5 cases without referencing notes, and correctly classify all 8 NYHA and CCS cases

Week 4: Score at least 80% on the 40-question mixed-domain quiz and have every missed item tagged to a domain and sub-topic

Week 6: Score at least 85% on a 25-question quiz drawn from domains 1 and 4, and have the pharmacology table fully completed from memory before checking

Week 8: Score at least 85% overall on both timed 100-question practice exams with every domain at or above 80%