Define cardiac rehabilitation.
the coordinated sum of activities required to influence favorably the underlying cause of cardiovascular disease, as well as to provide the best possible physical, mental and social conditions so that the patients may, by their own efforts, preserve or resume optimal functioning in their community and through improved health behavior, slow or reverse the progression of disease
OR
a structured set of services that enable people with coronary heart disease to have the best possible help (physical, psychological and social) to preserve or resume their optimal functioning in society
Give 4 patient groups included in cardiac rehabilitation.
- MI
- angioplasty
- CABG
- stable/stabilised angina
- valve repair
- congenital repairs
- transplant
- heart failure
- arrhythmia
Give 3 physiological benefits of cardiac rehabilitation.
- improvement in functional capacity
- improved CV efficiency
- reduction in atherogenic and thrombotic risk factors
- improvement in coronary blood flow, reduced myocardial ischaemia and severity of atherosclerosis
- reduction in risk of CV disease mortality
Give 3 psychological benefits of cardiac rehabilitation.
- reduced anxiety and depression
- enhanced mood
- enhanced self-efficacy
- restoration of self-confidence
- decreased illness behavior
- increased social interaction
- resumption of chores/hobbies
- resumption of sexual activity
- return to work/vocation
Give 5 barriers to exercise.
- bad weather
- too tired
- not in the mood
- don’t know how to
- can’t afford it
- fear
- no time
Give two differences between activity and exercise.
ACTIVITY sporadic and inconsistent in intensity
EXERCISE purposeful and sustained
What is the purpose of a warm-up?
to prepare the muscular, nervous, cardiac, respiratory and vascular systems for the main workout
What is the FITT principle of exercise?
frequency
intensity
time
type
What is the aim of the cool-down?
to reduce the heart rate and BP gradually
What are the 3 indications for self-monitoring during exercise?
sing, talk, gasp
Give 5 topics of education sessions in cardiac rehabilitation?
- congenital heart disease and risk factors
- healthy eating
- stress management
- medicines for the heart
- exercise
- relaxation
- CPR
What are the main 3 components of cardiac rehab?
- exercise
- education
- emotional
What are the 6 priorities of Heart Disease in Scotland?
- prevention of CV disease
- mental health for heart disease
- secondary and tertiary care cardiology
- heart disease management and rehabilitation
- heart failure
- arrhythmias
How many phases/stages are there in traditional cardiac rehab, compared to the new approach?
TRADITIONAL: 4 phasses
MODERN: 6+1 stages (stage 0 to 6)
What is the condition for cardiac rehab to be safe?
stable CV symptoms
When was the Heart manual created?
1992
Give 3 roles of the facilitator for Heart manual use.
- monitoring of clinical symptoms
- clarifying misconceptions
- provide ongoing education
- provide psychological assessment and support
- promote the return to normal activity
- facilitate lifestyle changes
Define health anxiety.
misconceptions of normal bodily functions
What type of stress is associated with heart disease?
major life event (catastrophic event)
