Cardiac Rehabilitaion

According to WHO, defines it as development of physical, psychological, vocational, social and educational potential consistent with his/her physiological impairment conducive to the environmental limitation. Aims of Cardiac Rehabilitation
  1. To restore him to self reliance in daily active life.
  2. To restore him to formal work activities
  3. To prepare him for another full time employment compatible with his working capacities. Sheltered workshop.
Warning Signs & Symptoms
  1. Dyspnea.
  2. Pulse rate–rate should come back to resting level in 2–3 minutes after ending the exercise.
  3. Pulse ratio–Pulse is taken before the exercise then on completion. Pulse is counted for 2 consecutive minutes. The pulse after exercise is divided by resting pulse to give pulse ratio e.g. pulse before exercise = 80.
  4. Chest pain–Patients must be educated to report chest pain and to rest immediately on any onset of retrosternal sensation or tightness in chest.
  5. Fatigue–If patient is doing the ex. every day, and at same patient feels tired before completion of exercise, he should stop exercise at that point and rest.
  6. Dizziness–Any onset of dizziness or faintness must be reported & Patient should rest.
  7. Cramps–If patient is developing cramps in any of the muscles during the exercise, exercise should be stopped for the day.
  8. Abnormal ECG recording–If any abnormality presents, exercise should be stopped on that day and progressed slowly.
  9. Abnormal BP.
  10. Decreased urinary output.
  11. Signs of CV insufficiency.