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| − | You are not alone. That's the first message that my patients get when they walk into the Cardiac Rehabilitation Program here at Montefiore Health System. They see other people like themselves exercising, socializing and learning how to manage their heart disease -- all under the watchful eye of committed staff with a number of resources to help get them back on their feet and feeling better than ever. As I like to say, "it's great to survive; it's better to thrive."
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| − | February's American Heart Month is a great time to focus on the importance of cardiac rehabilitation. According the Centers for Disease Control and Prevention, over 28 million Americans have been diagnosed with heart disease, which translates to almost 12 percent of all adults. After a major cardiac event or surgery, many may be scared and uncertain of what to do to get themselves back on track.
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| − | Patients often describe a sense of feeling like "something is different" or "I'm not the way I used to be." This fear and uncertainty can be caused by both the subjective impact of being told something went wrong with your heart and the objective reality of a whole new set of "rules" that many people find disorienting. New foods, new medications, new appointments and new recommendations regarding physical activity can lead some to feel overwhelmed and underprepared for living a healthy life as a "heart disease survivor."
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| − | Cardiac rehab can help; it is here that patients are given guidance and structure to help develop necessary skills to face their new reality.
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| − | What Is Cardiac Rehabilitation?
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| − | Cardiac rehab is where you get moving again and take control of your heart disease so it doesn't take control of you.
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| − | The foundation of all cardiac rehab programs is physical activity. The type of physical activity will vary from program to program due to space, size and background of the program directors. Cardiac rehab programs can be run by physicians, nurses, nurse practitioners or exercise physiologists.
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| − | Some key tips to keep in mind:
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| − | -- Insurance generally covers cardiac rehab for patients after a heart attack, bypass surgery, valve replacement, stent, congestive heart failure or transplant. | |
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| − | -- Program frequency is generally three visits per week for 12 consecutive weeks.
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| − | -- Insurance generally covers a maximum of 36 cardiac rehab sessions.
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| − | -- Cardiac rehab is recommended by the American Heart Association.
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| − | Will Cardiac Rehab Benefit Me?
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| − | Often, by the time patients get to cardiac rehab, they've seen scores of doctors, received new medications and are sometimes afraid to exercise; they may feel that staying home is their best option.
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| − | However, after facing any medical issue, including a cardiac one, regular exercise, as directed by your health care provider, will help you feel better. Specifically for people facing heart disease, the American Heart Association notes that people who participate in a cardiac rehab program have a 20 to 30 percent lower rate of mortality, and higher quality of life scores as well as an increased ability to return to work and leisure activities.
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| − | Is Cardiac Rehab Just Exercise?
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| − | Cardiac rehab is more than just exercise, and patients can benefit from more than just physical conditioning -- rehabilitating the mind is equally important.
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| − | Often, patients with newly diagnosed heart disease are the only people in their immediate family who have been through the experience of cardiac testing, hospitalization, procedures and recovery. This can leave them feeling like "I'm the only one who this has happened to," when nothing could be farther from the truth.
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| − | In cardiac rehab, people realize they are not alone -- literally. When patients see their classmates are all different ages and come from different backgrounds, it helps remove the sense of isolation and loneliness that many feel following a heart event or procedure.
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| − | As cardiac rehab takes place in a group setting, all programs are also required to monitor their patients with a heart monitor while they're exercising. The monitor ensures staff has the ability to see how the heart is reacting to the physical activity or exercise prescribed by the program director. Monitoring is the best way to get an instant snapshot of how everyone is doing in real time.
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| − | What Other Benefits Come from Cardiac Rehab?
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| − | As patients become comfortable with their cardiac rehab program, staff and classmates, they can use the increased energy they have gained to help them learn more about their disease -- taking control of their lives and futures.
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| − | Cardiac rehab staff is trained to guide patients on an educational journey as they're being conditioned, which extends beyond exercising. Patients will learn about cardiac diets and healthy food substitutions that work for them. While nutrition education is an ongoing process that will continue long after cardiac rehab ends, getting a head start when motivation is high and patients are feeling good is the best way to begin what will be lifelong changes.
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| − | Additionally, cardiac rehab can be a great time to help patients learn to manage stress. While stress is part of life and recovering from a new disease or health event is stressful on its own, cardiac rehab programs can help guide patients to books, apps and healthy habits like yoga, meditation and journaling. These activities can help patients achieve an increasing sense of control over their lives and lead to an overall sense of well-being.
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| − | As we learn about staying "heart healthy" during this American Heart Month, we're here to remind patients that help is there for them before, during and after an episode. Cardiac rehab is a place where we can mend "broken" hearts and teach people that with effort and guidance, anything is possible.
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