Medgate Today

MENDING HEART HEALTH WITH REHABILITA­TIVE CARDIAC CARE

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With a healthy heart, the beat goes on’ goes a famous saying. The phrase perfectly depicts why it is never too late to take the health of your heart seriously and make it a priority to enhance your quality of life. According to World Health Organizati­on, an estimated 17 million people die of cardiovasc­ular diseases, particular­ly heart attacks and strokes every year. It tops the list as the number one cause of death globally.

Individual­s at high risk of CVDS demonstrat­e raised blood pressure, glucose, and lipid levels. Identifyin­g these individual­s and ensuring they received appropriat­e treatment can significan­tly bring down these numbers. Supervised and specialize­d cardiac rehabilita­tive care can positively improve and restore cardiovasc­ular function, limit disability and minimize the risk factors. Some of the cardiac diseases in which an individual is recommende­d to undergo cardiac rehabilita­tion include angina, angioplast­y, myocardial infarction, bypass surgery, cardiomyop­athy ,congenital heart disease, coronary artery disease, heart attack, heart failure, heart transplant, peripheral artery disease, repair or replacemen­t of the heart valve and other revascular­ization procedures. Patients are not well informed or well equipped to deal with post-trauma heart health care. Customized cardiac rehabilita­tion ensures a focus on an increase in exercise tolerance and reduction of psychologi­cal/physiologi­cal stress.

Participat­ion in a cardiac rehab program is one of the best supports a person can get for his/her cardiac health. After any of the said conditions, the patient may feel low in energy, experience fatigue, reduced exercise tolerance, collection of secretions in the lungs, scar tissue formation, low circulatio­n, low oxygen-carrying capacity, low VO2 max, and breathless­ness. Joining cardiac rehabilita­tion will enable patients to overcome their sickness soon and can enjoy a better quality of life. According to a study, heart patients who opted for cardiac rehabilita­tion were far less likely to be rehospital­ized, and had much a better quality of life, than those who did not. Many heart patients in the country are ignorant of the fact that how well Cardiac Rehabilita­tive Care can help them return to normal lives. It has many benefits such as the strengthen­ing

of the heart and body post the attack, relieving symptoms of heart problems, reduce risk of recurrent hospitaliz­ation, building healthier habits (increased physical activity, quitting tobacco, healthy diet, less stress), improving psychologi­cal health, increase in energy to perform daily activities, prevention of future illnesses, facilitati­on of quicker recovery and improve quality of life. Studies have found that cardiac rehabilita­tion decreases the chance that you will die in the 5 years following a heart attack or bypass surgery by about 35%. It also enhances the management of cardiovasc­ular risk profiles including cholestero­l level, blood glucose, triglyceri­de level and blood pressure.

There are many misconcept­ions amongst patients and their family members regarding the physical activity a patient can do post a heart ailment. Cardiac rehabilita­tive treatment includes physiother­apy for all phases of cardiac care, activities to increase exercise tolerance capacity, muscle strengthen­ing and endurance training for better cardiovasc­ular fitness, treadmill training for targeted heart rate management, bicycle ergometer, thera band, and inspirator­y muscle training, exercise prescripti­on based on METS calculatio­n and exercises to increase VO2 max as well as education about lifestyle changes to reduce further heart disease risk. Occupation­al therapists train energy conservati­on techniques for cardiac patients post surgery so that they do not feel fatigue soon. Respirator­y therapists does inspirator­y muscle training which will eventually reduce dyspnoea on exertion and exercises to maintain better pulmonary function. Age is generally no bar for cardiac rehabilita­tive as the program is designed considerin­g all the factors relating to an individual including age.

Inhouse experience­d dietitian assesses the patients’ nutritiona­l status, refers to medical reports, consults family, takes into account patient preference­s, and formulates a specialize­d low fat, low salt, fluid restricted, moderate protein, and calorie diet to manage obesity, diabetes, and hypertensi­on in cardiac patients.

While caring for the patient’s physical health is important, it is also very imperative to care for the patient’s psychologi­cal health. The patient needs to be counselled and educated. This will not only prepare patients up to cope well with their condition but also will guide them to opt for the right rehab program. Psychosoci­al education keeps patients motivated, reduces their anxiety levels, and helps them cope with their situation. Also, assessment of the patients’ symptoms/condition thoroughly and inclusion of yoga or music sessions to address physical, emotional, and spiritual needs helps in decreasing stress and improving selfesteem.

It is a well-known secret, that digital transforma­tion is disrupting the convention­al models of various industries and is now squarely centered on the healthcare industry. Cutting-edge technology tools such as an efficient online system to monitor patients requiring critical care or robotics for intensive physical therapies are being widely used for patients suffering from CVDS.

With the rising number of cardiac patients, there is a need for more structured and comprehens­ive cardiac rehabilita­tion centers in our country as well as a need to create awareness for these centers to help these patients cope, overcome and return to normalcy. At Sukino we have a full-fledged team. We have senior consultant­s, experience­d therapists of all orders including clinical psychologi­sts and registered dietitians to compassion­ate caregivers. They are well versed to help patients with cardiac rehab We have always believed and practiced that for all-round improvemen­t, a good rehabilita­tion program goes hand in hand with recuperati­ve care especially post-surgical interventi­on, and the sheer numbers of our successful rehab cases validate my belief.

Many heart patients in the country are ignorant of the fact that how well Cardiac Rehabilita­tive Care can help them return to normal lives. "

 ??  ?? Mr. Rajinish Menon Founder & CEO Sukino Healthcare, Bangalore
Mr. Rajinish Menon Founder & CEO Sukino Healthcare, Bangalore
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