Who Needs Cardiac Rehabilitation?

Cardiac rehabilitation refers to the integration of multiple coordinated and purposeful interventions, such as: rehabilitation assessment, exercise training, diet and behavior, compliance with medical treatment, etc .; to improve the function and structure of patients with heart disease, and to optimize physical and mental health. Increased social participation. And prevent cardiovascular events.

Cardiac rehabilitation

(Heart Rehabilitation Treatment)

Cardiac rehabilitation refers to the integration of multiple coordinated and purposeful interventions, such as: rehabilitation assessment, exercise training, diet and behavior, compliance with medical treatment, etc .; to improve the function and structure of patients with heart disease, and to optimize physical and mental health. Increased social participation. And prevent cardiovascular events.

Chinese name

Cardiac rehabilitation

Foreign name

cardiovascular rehabilitation, CR

main application

heart disease

Measures

Rehabilitation assessment, exercise training, diet and behavior

Features

Improved function and structure, increased social participation

Suitable range for cardiac rehabilitation: after myocardial infarction, stable angina pectoris, coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), chronic stable heart failure due to various reasons, heart valve replacement or repair After surgery, after heart transplantation, atherosclerosis, hypertension

The effects of cardiac rehabilitation. For patients with myocardial infarction, cardiac rehabilitation can reduce all-cause and cardiovascular mortality in patients after myocardial infarction. Patients with acute myocardial infarction have a 45% reduction in the risk of sudden death within 1 year. For elderly hospitalized patients with coronary heart disease, the 5-year mortality rate of patients undergoing cardiac rehabilitation is 21% -34% lower than that of non-cardiac rehabilitation patients.

Can delay the development of atherosclerosis. Can reduce the incidence of acute ischemic coronary events and hospitalization rate. Can reduce the cardiovascular cause mortality and heart failure cause hospitalization rate of heart failure patients, and can improve the quality of life of heart failure patients. Can lower blood pressure in patients with hypertension.

Cardiac rehabilitation is divided into three phases. The patient initiated a phase of rehabilitation or in-hospital rehabilitation while in hospital. The second phase of cardiac rehabilitation is a mobile outpatient rehabilitation under the supervision of 3 to 6 months. The third phase of cardiac rehabilitation includes home or gym-based exercise. ^[1]

Over the past 40 years, cardiac rehabilitation has evolved from a simple plan to monitor patients' physical activity safely to a comprehensive subject plan that includes post-operative patient care, medication optimization, nutrition counseling, smoking cessation, risk stratification, Stress management, blood pressure control, and control of diabetes or dyslipidemia. Reasonable development and implementation of sports training programs is the key to cardiac rehabilitation. ^[1]

Cardiac rehabilitation assessment is a very important prerequisite for the effectiveness of individualized treatment. Evaluation tools: non-invasive methods are mainly used, including device evaluation methods (cardio-pulmonary exercise test, cardiac ultrasound) and free-hand evaluation methods. A 6-minute walking test can be used as a method of assessing cardiopulmonary endurance. The use of instruments, scales or freehand assessment techniques to assess the anaerobic threshold of patients with cardiovascular disease is of great significance in determining the exercise prescription of patients with cardiovascular disease. ^[2]