CARDIAC REHABILITATION

Cardiac rehabilitation is a physician-supervised program for people who have either congenital or acquired heart disease. Program participants may or may not have had a heart attack or heart surgery (or other heart procedures). Cardiac rehabilitation can often improve functional capacity, reduce symptoms, and create a sense of well-being for patients. A physician may prescribe cardiac rehabilitation for a patient in certain situations.

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What conditions may benefit from cardiac rehabilitation?

Conditions or cardiac procedures that may necessitate cardiac rehabilitation may include, but are not limited to, the following:

• congestive heart failure
• angina pectoris
• myocardial infarction
• post-open heart surgery
• post-heart transplantation
• balloon angioplasty
• pacemaker
• congenital heart disease
• arrhythmias
• rheumatic heart disease

The cardiac rehabilitation team:

Cardiac rehabilitation programs can be conducted while a person is a hospital inpatient or on an outpatient basis. Many skilled professionals are part of the cardiac rehabilitation team, including any/all of the following:

• cardiologist / cardiovascular surgeon
• physiatrist
• internist
• rehabilitation nurse
• dietitian
• physical therapist
• occupational therapist
• speech / language therapist
• psychologist / psychiatrist
• recreational therapist
• audiologist
• chaplain
• vocational therapist

The cardiac rehabilitation program:

A cardiac rehabilitation program is designed to meet the needs of the individual patient, depending upon the specific heart problem or disease, and should be supervised by a cardiac physician and a team of cardiac professionals.

The goal of cardiac rehabilitation is to help patients reverse their symptoms and maximize cardiac function. Cardiac rehabilitation includes, but is not limited to, the following activities:

• establishing a progressive exercise program to build fitness and functional capacity
• providing educational classes to help adjust to or change the patient's lifestyle and habits, such as:
  
  • smoking cessation classes
  • nutrition classes
• offering stress management techniques and techniques to reduce anxiety
• counseling and educating the patient with regards to his/her specific heart condition/disease and the best management approach for that specific condition
• preparing the patient to return to work - equipping him/her to meet the physical and psychological demands of the job

Saint Joseph's Hospital has an Inpatient Phase I Cardiac Rehab facility which helps patients

• develop an exercise program
• be knowledgeable about their risk factors
• learn about their heart condition
• be prepared for recovery at home

If necessary, at the time of discharge, patients are referred to a Phase II Cardiac Rehabilitation facility where further education and life style change reinforcement occurs. Saint Joseph's Hospital refers to 72 Phase II sites in the state of Wisconsin and upper Michigan.