Cardiac rehabilitation. Ahmad Osailan. What is cardiac rehabilitation.
To restore and maintain an individual’s optimal physiological, psychological, social wellbeing.
Coronary heart disease (CHD)
Exertional angina .
ACS (unstable angina or NSTEMI or STEMI) following medical/surgical management.
Stable heart failure and cardiomyopathy
Those at high risk of developing CVD: total
CVD risk > 20% over 10 years or diabetes
Diet and weight management
Physical activity and exercise
Long-term management strategy
Assess and risk stratify
Develop individual exercise plan
Teach FITT principle
Regain/develop physical fitness
Regain confidence in physical activity
Develop long-term activity plan
Blood sugar management
Cardio-protective drug therapy
CHD as a disease
Treatment including medication
CHD risk factors
Living with CHD
Reduce fear and anxiety
Assist with adjustment
Promote positive attitude
Facilitate behaviour change
Identify need for further support
Education : focusing on :
Precautions and movements to be avoided
Importance of practising breathing Exercises
The stages of rehab after OP and the activities allowed after OP
Intensity: at the beginning 60-65% of HRR and progression occurs gradually (old population Vs young population)
Mixture of Aerobic cardiovascular Exercise and some light resistance training exercises
Duration: 60 min per session
The average cost per patient in 2006-7 was £413
Single day in a CCU costs £1,400
Angioplasty (does not reduce mortality) costs £3,000
Bypass surgery costs £8,000.
No treatment in cardiac disease has stronger scientific evidence or a significantly greater impact on survival.
The scientific evidence has been reviewed by many scientific and expert bodies over the last 30 years.
Every review has come to the same conclusion that cardiac rehabilitation is an essential treatment.
CR is only form of chronic disease management with an evidence base.