In this lecture we will review the aims, benefits, phases and potential risks of a cardiac rehabilitation program. Description at: [ Ссылка ]
The primary aim of cardiac rehabilitation is to enable the patient to regain full physical, psychological, and social status after a cardiac event. Cardiac rehab can optimize the long-term prognosis by secondary prevention.
Following patient groups may benefit by cardiac rehabilitation programs:
Following an acute cardiac event
Awaiting or post revascularization
Stable angina
Stable heart failure
Post valve surgery
Post heart transplantation
Post ICD (implantable cardioverter defibrillator) insertion
Benefits from a cardiac rehab program will include a reduction in angina, blood pressure, anxiety, and depression as well as hospital admissions. There is an improvement in the lipid profile, functional capacity, better compliance with lifestyle modification, increase in level of confidence, earlier return to work and leisure activities.
Conventionally there are 4 phases for cardiac rehabilitation. The first phase starts during the hospital stay for the acute event or surgery. Phase II is after discharge from hospital and is usually carried out at home as per the advice of the rehabilitation team. Phase III, typically after 2-6 weeks, is either at the hospital cardiac rehabilitation facility or a community-based program. Phase IV is long term maintenance, most often taken care of by leisure services.
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