Cardiac Rehabilitation

What is cardiac rehabilitation?

Cardiac rehabilitation is an integrated treatment of individuals after cardiac event or procedures with the goal of maximizing physical functions, promoting emotional adjustment, modifying cardiac risk factors and addressing return to previous social roles and responsibilities.

Goals of cardiac rehabilitation

  • To minimize the risk of a future cardiac events
  • To provide optimal physical and emotional status
  • To promote self responsibility and use of health resources

Contraindications of cardiac rehab

  • Heart attack complicated by heart failure, cardiogenic shock or complicated ventricular arrythmias.
  • Chest pain or breathlessness at low level of exercise
  • ST segment depression > 1mm on resting ECG

When does cardiac rehabilitation begin?

 
Rehabilitation begins even while the patient is still in the ward and continues after discharge.
There are 4 recognized phases of cardiac rehabilitation.
Phase 1 (inpatient)
Inpatient education and mobilization should begin shortly after admission to hospital. A program should assist physical and psychological functioning and encourage lifestyle changes to prevent further coronary events specifically ,it can reduce anxiety associated with hospital admission,raise awareness about heart disease and increase patient's sense of control.

What does cardiac rehabilitation involve?

 
Components of cardiac rehabilitation program vary by individual need and each program will be carefully constructed by his or her rehabilitation team.
Components of cardiac rehabilitation are:
i) Exercise 
Typically starts slow
Blood pressure and heart rate are monitored before and intermittently during exercise
High risk patient may need continuous ECG monitoring throughout the exercise session.
ii) Diet
Dietitian will work with you to develop an appropriate diet regime.

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