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Preventive Cardiology and Rehabilitation
 

India has the dubious distinction of being the heart disease and diabetes capital of the world. Heart disease is the leading cause of death, and what's worse is that it strikes Indians, during the prime years of their life. Heart disease can be a life changing event, and many patients never fully recover from the blow and end up being 'cardiac cripples'. It starts with a lack of mental confidence leading to a drop in physical capability, which further reduces the confidence and the vicious cycle continues. The good news is that heart disease is a largely preventable disease, and if appropriate lifestyle measures and medication are undertaken early enough, you may never need to undergo a cardiac interventional procedure.

At the Preventive Cardiology and Rehabilitation Department at Asian Heart Institute, we have a tailor made program to suit all categories:

 

  • Cardiac Rehabilitation program: for those who have already suffered a cardiac event, such as a heart attack, bypass surgery or angioplasty.
  • Secondary prevention program: for those who have been detected with heart diseases on routine tests, and want to avoid an interventional procedure, such as bypass surgery.
  • Prevention program: for those who are at risk for heart disease, and want to avoid suffering, example those with a high BP, or cholesterol, or diabetes or a family history of heart disease.
Cardiac Rehabilitation
 
 

Heart disease can be a life changing event as we discussed. But it can also be a positive life-changing event. If appropriate care is taken, most people not only recover from their event, but go on to improve their quality of life, to a higher level than before. After a heart event, post-care and rehabilitation is a vital part of the process. A structured cardiac rehabilitation program is crucial to get the patient on the path to recovery, and to prevent further illness.

The term cardiac rehabilitation, as defined by the World Health Organization (WHO) refers to coordinated, multifaceted interventions designed to optimize a cardiac patient's physical, psychological, and social functioning, in addition to stabilizing, slowing, or even reversing the progression of the underlying atherosclerotic processes, thereby reducing risk of further disease.

The goals of cardiac rehabilitation are:

 

  • To help the person get back to his or her normal routine, as quickly as possible
  • To institute lifestyle changes and regular monitoring to reduce future risk of cardiac events
  • To improve the psychological well being of the cardiac patient.

 

Your treatment is incomplete without cardiac rehabilitation

Leading cardiology associations, such as the American Heart Association, have classified Cardiac Rehabilitation as a Class I recommendation, on par with other life saving measures such as a daily aspirin dose. Extensive research shows that patients who underwent cardiac rehabilitation, showed a 20% reduction in total death and 26% in cardiac deaths when compared with those on usual medical care.

 

When does cardiac rehabilitation start?
The outpatient program begins one to four weeks after the patient is discharged, and the sutures are removed (for those who have had surgery). The program is usually conducted three days a week, and lasts for three to six months depending on the patient's condition.
What happens during the program?

The patient exercises using portable heart monitoring equipment, known as telemetry. With the help of this special equipment, the ECG is continuously transmitted to the monitoring station wirelessly while the person is exercising. This ensures that the optimal amount of exercise is performed in the safest manner possible.

An individualized program of lifestyle modification, including nutrition, stress reduction and counselling is planned for the patient. Diet forms an important part of a healthy lifestyle and great emphasis is taken to ensure that the patient has a diet plan which is individualized to their needs.

Cure the disease, don't just repair it
Heart disease is caused by the presence of risk factors. During cardiac rehabilitation, great emphasis is placed on educating the patient on his/her risk factors and ways to reduce them. This helps attack the root of the problem. Many cardiac rehabilitation programs also include meditation and yoga, which greatly benefit patients through stress reduction.

Group support helps
Heart disease can be a very traumatic event in a person's life. Several patients go through a short period of depression when they first get out of the hospital, wondering if they will ever be 'normal again', and be able to resume their activities. The support of family and doctors is extremely important, but often the best guidance comes from another person who has gone through the same experience. When in the cardiac rehabilitation program, patients interact with others who have had the same problems. This group support is very helpful to the patients and is an integral part of the program

Who is eligible to join cardiac rehabilitation?

Those who have had:

 

  • Heart attack
  • Bypass surgery
  • Angioplasty
  • Angiography showing blockages
  • Heart failure
  • Heart valve replacement
  • Stable angina
  • History of Cardiac troubles
  • Chronic diabetes & Hypertensives
Who cannot join?
While cardiac rehabilitation has several benefits for those with a heart disease, there is a group of patients who should not join, until their clinical condition is stable:

 

  • Unstable angina or angina at rest
  • Heart rhythm problems which have not been controlled with medications
  • Severe heart valve problems (in those who have not had the valve repaired)
  • Uncontrolled heart failure
Corporate wellness
 
 

Research shows that employers typically devote about 95 percent of health benefit expenses to treating illness. Overall these expenses could be significantly decreased by shifting more resources to preventive care and health promotion efforts. We offer a variety of corporate preventive health programs which are tailored to the needs of the company. The services range from education lectures to intensive on-site yearly programs.


Benefits of a corporate preventive program:

 

  • Reduced absenteeism
  • Increased staff loyalty and retention
  • Increased productivity.
  • Lower medical claims
  • Lower health insurance premiums


For further enquiries / appointments,
Contact Us at: 022-66986665.
You can also write in to us at cardiacrehab@ahirc.com
You can also visit our Facebook page and stay updated with the latest events from the Cardiac Rehabilitation department.

 

 

External Counter Pulsation

The Dept. of Preventive Cardiology & Rehabilitation has been set up with an aim to provide the third option to cardiac patients. For a patient suffering from heart disease angioplasty or bypass surgery are not the only solutions. The department has housed the cutting edge ECP (External Counter Pulsation) technology, a revolutionary new non surgical cardiac treatment option for patients for more than three years. ECP is an FDA approved modality for the treatment of angina & heart failure (patients with low heart pumping capacity)

 

What is an ECP treatment?
External Counter Pulsation (ECP) is a non invasive procedure that may reduce the symptoms of chronic angina by stimulating the formation of small branches of blood vessels (collaterals) which circumvent the blocked arteries.

ECP is as simple as 1, 2, 3

Step 1 - ECP pumps, sending oxygenated blood to the heart during diastole (the heart is resting).
Step 2 - ECP stops pumping just before the heart pumps, leaving the blood vessels open without resistance.
Step 3 - Over the treatment period your angina is reduced, or may be eliminated


How will I benefit?

External counter pulsation has produced positive effects in patients with coronary artery disease. Some of the benefits are as given below:
 

  • Relief from angina or symptoms
  • Fewer episodes of angina
  • Improved treadmill exercise times
  • Possible increase in heart pumping capacity (EF)
  • Reduction in the need for anti-anginal medications
  • Improvements in lifestyle activity levels
  • Ability to return to work- life becomes 'normal'

 

The Asian Heart Institute (AHI) Advantage.
 
 

The ECP facility at AHI is designed to increase the ejection fraction (EF)-pumping capacity of the heart and improve the exercise capacity. An analysis of 50 patients with heart failure (EF< 35%) & having received the ECP treatment showed encouraging results. There was a significant improvement in the Ejection Fraction, 6 Minutes Walk Distance & Quality of Life.

 





Heart failure patients usually suffer from a very poor quality of life. Post ECP therapy, a significant improvement was seen in both the physical and mental components in the quality of life test as assessed by the SF -36 quality of life questionnaire.





The quality of life was measured in fifty patients using the SF-36 questionnaire. The results showed statistically significant improvement in both physical health by 22.3% and mental well-being by 17% of patients.

Mumbai Marathon - The Success Story

Every year, 75 of our cardiac patients run the Standard Chartered Mumbai Marathon and show the world that heart diseases cannot deter them from living a healthy life. Often, people feel that their life ends with a heart disease but out patients show that life can actually begin fresh after it.








 

 

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AHI's Ex-Cardiac Patients turned Marathon Runners, displaying their belief that it takes a complete post surgery rehabilitation to build a stronger, healthier heart and not just a successful surgery.
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