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Cardiac Rehabilitation
1. Cardiac Rehabilitation
Ms Tarika Sharma
MSN(Cardiology/CTVS),RN,RM
Nursing Tutor
M M College Of Nursing
Maharishi Markandeshwar University, Ambala
Haryana (INDIA)
3. Cardiac Rehabilitation
The sum of activities required to ensure cardiac
patients the best possible physical, mental and social
conditions so that they may, by their own efforts,
resume and maintain as normal a place as possible in
the community.
4. Simply stated…
Cardiac rehabilitation is a combination of services
that helps patients with cardiovascular disease:
• Improve their functional abilities, particularly
their tolerance for physical activity
• Decrease their symptoms and
• Achieve and maintain optimal health.
5. Goal of Cardiac Rehabilitation
To restore normal functioning and lifestyle.
6.
7. Indications for Cardiac Rehab
MI
Angina (stable)
Coronary artery bypass Sx
Compensated heart failure
Cardiac surgery
High risk for CAD
High risk for high blood pressure
End stage renal failure
Status post pacemaker insertion
Cardiomyopathy
PVD
Heart transplant
High risk for diabetes
8. Phases Of Cardiac Rehabilitation
Phase 1:
The
inpatient
stay
Phase 2:
The
immediate
post-
discharge
period until
patient
commences
phase 3
Phase 4:
The long-
term
maintenan
ce period
Phase 3:
The
exercise
and
education
programm
e post-
discharge
11. The Evidence
Reduces
Improves
Supports
All cause mortality by 11-26%
Cardiac mortality by 26-36%
Morbidity
Unplanned admissions by 28-56%
Heron et al 2011
Quality of Life
Functional capacity
Early return to work
The development of self management skills
16. Strategies For Improvement
The use of modern technologies (internet,
phone and other communication tools)
Technological developments (mHealth,
social media, etc.)
23. Conclusion
‘If there was a pill that cost very little, reduced cardiac
deaths by 27% , improved quality of life, and reduced
anxiety and depression, every cardiac patient would be
expected to take it. There is no such pill but taking part
in a Cardiac Rehabilitation Programme can provide all
these benefits
Prof Bob Lewin 2005
Reduces or eliminates the risk of future heart diseases. Improves heart strength & function Reduces Blood Pressure Reduces Cholesterol levels Improves Diabetes Weight loss Improved physical fitness and energy levels Improved management of stress Increased ability to perform job or tasks