A talk to the South Australian branch of the Australian Cardiac Rehabilitation Association at their local meeting. In particular the talk was about the cardiac rehabilitation DVD called 'what's wrong with my heart'.For more information go to www.whatswrongwithmyheart.com,and to read more visit www.dralistairbegg.com

1. Dr Alistair Begg
Cardiologist at Ashford Heart Centre

2. Cardiac Rehabilitation
• Used by less than a third of heart attack
survivors
• Reasons cited include
accessibility,cost,patient
preference/perception,transport
issues,cultural diversity,language
barriers,and others
• Need for a consistent patient
management system nationally

3. Blueprint for reform 5 point action
plan
• 1.National approach to secondary heart attack
prevention
• 2.Bridge the gap between hospital and primary
care
• 3.Increase awareness and utilisation of existing
services by patients
• 4.Develop a system for monitoring and
maintaining performance
• 5.Implement a communication strategy to
facilitate sustainability

4. Secondary prevention of coronary heart
disease in Australia: a blueprint for reform
An integrated national approach represents the greatest opportunity to further reduce
cardiovascular disease burdenJulie Redfern*
BSc, BAppSc(Physio), PhD,
Senior Research Fellow
Clara K Chow*
MB BS, PhD, FRACP,
Head, Cardiac
Research Program
Better integration and utilisation of existing
services
An immediate mechanism for improving secondary prevention
of CHD is through more comprehensive use of
existing services. Many health providers and patients are
unaware of all the relevant services. A web-based and
updateable inventory of resources (including information
about costs) would improve this situation. The inventory
would need to include a range of programs and schemes,
including, among others: cardiac rehabilitation; Heart
Foundation programs such as Heartmoves and Walking;
schemes that give access to allied health and psychology
services via chronic disease management plans and home
medicines reviews, and which attract a Medicare rebate;
Quitline; and Aboriginal and Torres Strait Islander services.
The maintenance of the inventory might become an activity
of the Australian Commission for Quality and Safety in
Health Care in collaboration with state governments,
Medicare Locals or a non-government organisation (eg,
the Heart Foundation).

5. Cardiac Rehab DVD

6. How did it begin?

7. Why do it?

8. Who are we ?

10. Who did we get to make it?

11. The Production Team

13. How did we plan it?

14. Heart Disease What are the symptoms? What’s happening to
me? What are the risks? How should I be
treated? What drugs are relevant? When is
it time for surgery?
Before Surgery Why is surgery necessary? What will happen to
me? How do I prepare? Who will I be
dealing with? What are the risks?
Surgery What happens? Who will be in theatre? How will
I prepare? How long will it take? How will I
recover?
Post-operative What will I feel like after surgery? What happens
next?
Rehabilitation Steps to recovery. Pharmacy. Exercises. Diet.
Recipes? Motivation

15. What review process ?

16. How long did it take?

17. Where are we now?

18. What are the next steps ?

19. Other multimedia options

20. Other multimedia rehab ?

22. Books

23. Apps
https://play.google.com/store/apps/details?id=com.andromo.dev32054.ap
result#?
t=W251bGwsMSwyLDEsImN
vbS5hbmRyb21vLmRldjMyM
DU0LmFwcDEzMzk2MCJd

24. Blogs and websites

25. Social media
• Facebook / Twitter / Linkedin
• Hundreds of millions of users
• Bring CR to social media
• Paradigm shifts

26. Talking points
• Scope of the problem
• Different learning styles
• Tailoring CR to the individual