Cardiac Rehabilitation Benefits of cardiac rehabilitation: Improve quality of life. Decrease risk fetal heart attack. Decrease severity of angina Decrease the need of medication. Decrease blood pressure. Increase the ability to exercise longer. Decrease cholesterol level. Cardiology [email protected]1
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Cardiac Rehabilitation Benefits of cardiac rehabilitation: Improve quality of life. Decrease risk fetal heart attack. Decrease severity of angina Decrease.
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Cardiac RehabilitationBenefits of cardiac rehabilitation:Improve quality of life. Decrease risk fetal heart attack.Decrease severity of angina Decrease the need of medication.Decrease blood pressure.Increase the ability to exercise longer.Decrease cholesterol level.
Pre exercise test:Before starting cardiac rehabilitation to estimate cardiac state ; risk assesement is done to determine heart health and type of exercise.
1-Resting ECG.2-Stress test; how heart response to exercise.3-Echo: an image of the heart show; how heart is
pumping and how valves are working.4-Ambulatory ECG : heart activity during usual
daily activity , the heart problem may occure during eating , sex , bowel , emotional sress.
To detect the response of the patients to the exercise:1-Heart rate: Target Heart rate: ranged heart rate reached during exercise which enable one heart and lung to receive the most benefits from the exercise.- THR= { (HR max – HR rest) X Intensity } + HR rest.- The intensity ranged from 40% in phase I. 70% in phase II. 85 % in phase III.
Goals of phase I. 1-Initiate early physical therapy activity to: Development of patient confidence. Decrease anxiety and depression. To set-off the prolonged bed recumbence. Return to ADL activity.
Principles: Low intensity exercise. Passive to active assisted. Distal to proximal. Lower limb, then upper limb then trunk. From supine to sitting, standing, walking. Start with short duration, high frequency then vice versa
Start with the lower limit of moderate intensity exercise. 5-6 weeks – moderate ex. After 4 months upper rang of moderate exercise. Until maintenance stage.
B-Supervision: B-Supervision: High and intermediate risk members should be supervised and ECG monitored during 8-12 weeks until safety exercise prescription established Low risk patient;
Monitored during the 1st 6-weeks. Then self-home monitored exercise program
established. N.B.: The METS value of this phase is "5".
Phase III: Home Program Duration: along life. Goals: Reducing risk of future heart conditions "Maintenance phase" Continue exercising to regain physical function. Learn lifestyle changes to lower risk of future heart problems "smoking, nutrition, stress".
II. Aerobic exerciseExercise that involve one or more type of exercise.Gradually increase the intensity ~ as long as you feel comfortable. THR = up to 85 % Progression: increase HR, increase duration and increase Intensity.
Emotional training The aimes of cardiac rehabilitation is not only
getting back to your physical strength, but also getting back to your emotional and mental well-being ~ recover physically and mentally and emotionally. How
-Keep patient and his family around. -Be affectionate with your family and friends. -Deep breathing = relax. -Psychotherapy. -Medication