Cardiac Rehabilitation Part I Dr Rrhab F Gwada

Cardiac Rehabilitation Part I Dr. Rrhab F. Gwada

Introduction • Up until the 1950 s, strict bed rest was thought to be the best medicine after a heart attack. • Following discharge moderately stressful activity such as climbing stairs was discouraged for a year or more.

Definition: • Cardiac rehabilitations services are comprehensive, long-term programs involving • • medical evaluation, prescribed exercise, ( Monitored progressive ex. ) cardiac risk factor modification, educations and counseling. • The primary goal of cardiac rehabilitation is to enable the participant to achieve his/her optimal physical, psychological, social and vocational functioning through exercise training and lifestyle change.

Core Components of Cardiac Rehabilitation • Prescribed exercise to improve cardiovascular fitness without exceeding safe limits • Education about heart disease along with counseling on ways to stabilize or reverse heart disease by improving risk factors. • cardiac risk factor modification • Reduction/Cessation of Smoking • Lipid Management • Controlling High Blood Pressure • Weight Loss/Control • Improve/Manage Diabetes • Increasing Physical Activity • Encourage Healthy Eating Habits • Improve Psychological Well Being

To detect appropriate pt. Component of CR Determine goals medical evaluation Develop individualized program Define outcome measures Detect the amount of supervision for safety

Goals of Cardiac rehabilitation program ülimit the physiologic and psychological effects of cardiac illness. üReduce the risk for sudden death or re-infarction. üControl cardiac symptoms. üStabilize or reverse the atherosclerotic process. ü Enhance the psychosocial and vocational status. üImproves Functional Capacity. üImprove quality of life.

Characteristics of Cardiac Rehabilitation • Cardiac rehabilitation should be : ü Comprehensive. ü Initiated as early as possible. ü Continuous. ü Staged (phases). üIndividualized depending on the clinical state. üAcceptable for the patient.

Candidate for cardiac rehabilitation (who can benefit) A- Individuals with cardiac ms dysfunctions: e. g üPost Myocardial Infarction. üChronic stable angina. üChronic Heart failure. üCardiomyopathy. B -Individuals with heart surgery; e. g üPercutaneous Coronary Intervention(balloon angioplasty, stenting, cutting balloon…. . ) üCoronary Bypass Grafting. üHeart transplantation. üValve heart disease and surgery : valve replacement or repair C- Individuals with Peripheral arterial disease

Team of Cardiac Rehab ü ü ü ü Medical Director. Referring Physician ( cardiologist , cardiac surgeon ). Physical & occupational physical therapy. Nurses. Exercise Physiologists. Dieticians/Nutritionists. Social Services/Psychosocial specialists. Pharmacists

Cardiac Rehabilitation Program duration • According to American Heart Association , Your rehabilitation plan is designed to meet your needs. You may need six weeks, six months or longer to learn how to manage your condition and develop healthier habits. Many programs last only three months, but some continue for years. . from 1982 to March 2006, Program duration include 36 visits in 12 weeks(3 visit/week). • from March 2006 up to now , 36 visits in 18 weeks(following review, up to 72 visits in 36 weeks) [2 visit /week]. Kraus WE and Keteyian SJ. Cardiac Rehabilitation. Humana Press Inc. Totowa, New Jersey. 2007 •

Effect of ex. On the heart http: //www. youtube. com/watch? v=_AXQn. M-jai 0

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