10/20/2015
Objectives
Cardiac Rehabilitation – Over view
Definition
“Cardiac rehabilitation is the co-ordinated sum of
interventions required to ensure the best physical,
psychological and social conditions so that patients
with chronic or post-acute cardiovascular disease
may, by their own efforts, preserve or resume
optimal functioning in society and, through improved
health behaviours, slow or reverse progression of
disease ."
Narasimman Swaminathan
• At the end of this session the students will be
able to
• Explain Cardiac rehabilitation
» Indications, components, assessment, benefits
• Plan a cardiac rehab programme
Based on the available evidence
Broad aims of cardiac rehabilitation
• Maximise physical, psychological and social
functioning to enable people with cardiac disease
to lead fulfilling lives with confidence.
• Introduce and encourage behaviours that may
minimise the risk of further cardiac events and
conditions.
National Heart Foundation of Australia & Australian Cardiac
rehabilitation Association
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Specific aims of cardiac rehabilitation Indications

i. Facilitate and shorten the period of recovery
after an acute cardiac event.
ii. Promote strategies for achieving mutually agreed
goals of ongoing prevention.
iii. Develop and maintain skills for long-term
behaviour change and self-management.
iv. Promote appropriate use of health and
community services, including concordance with
prescribed medications and professional advice.
• myocardial infarction (ST elevation MI, non-ST
elevation MI)
• re-vascularisation procedures
• stable or unstable angina
• controlled heart failure
• other vascular or heart disease.

Phases
Phase I – Inpatient Phase ( Till Discharge)

Phase II – Early Out Patient, Clinic or Home Based

Commence with in 3 weeks of Discharge Core components of cardiac
Last up to 3 months rehabilitation
Phase III – Late Out Patient, Community Based or
Home Based

Phase IV- Community based Maintenance Phase

Narasimman Swaminathan 2
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Patient Assessment

Evaluation
Medical History
Physical Examination
Investigations

Risk stratification

Goal setting

Nutritional Counseling Weight Management

Evaluation  Measure weight, height, and waist circumference
Daily caloric intake
Eating habits Calculate body mass index (BMI)

Interventions
dietary modifications
Education and counseling Weight reduction programme
Behavioral modification
BMI 25 kg/m2 and/or waist 40 inches in men (102 cm) and
35 inches (88 cm) in women

Narasimman Swaminathan 3
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Secondary Prevention Programs

• Blood Pressure Management
• Lipid Management
• Diabetes Management
• Tobacco Cessation
• Physical Activity Counseling
• Exercise Training

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