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March 5, 2008 at 19:36:28

Promoted to column top on 3/5/08:
Mending Broken Hearts with Cardiac Rehab

by Joel S. Hirschhorn     Page 2 of 2 page(s)

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 In 2006, a Johns Hopkins University article reported: “A recent analysis examined the findings from 63 studies of cardiac rehabilitation programs that involved more than 21,000 survivors of a heart attack. The results showed that participation in a cardiac rehab program reduced the likelihood of having a second heart attack within the next year by 17 percent; 2 years after the heart attack total mortality decreased by nearly 50 percent.” 

In 2007, it was reported that research at the Ochsner Medical Center, New Orleans, Louisiana found that the prevalence of depression decreased a significant 63 percent, from 17 percent to 6 percent, following rehabilitation.  And depressed patients who completed cardiac rehabilitation had a nearly 4-fold decrease in mortality compared with depressed patients who did not complete cardiac rehabilitation (30 percent versus 8 percent).  They looked at 522 patients with coronary artery disease who were an average of 64 years old and these were compared with a control group of 179 coronary artery disease patients who did not complete rehabilitation.

 

Clearly, there is no question about the benefits of cardiac rehab.  Physicians, relatives and friends should strongly encourage heart attack survivors and those receiving treatment for coronary disease to enter a cardiac rehab program.  It is as important as taking prescribed medicines and following a recommended diet.

 

My own experience, including listening to comments from other longer term participants, is that participating in a formal cardiac rehab program – typically three days a week for twelve weeks, with the option to stay in a maintenance program – helps people stay committed to regular physical exercise.  And this surely is important if losing weight is a goal. 

 

It should be noted that research at the University of Toronto reported in 2005 found that the optimal time for a rehab program is nine months.  But the problem in the US is that Medicare and other forms of insurance just cover three months.

 

I want to emphasize the benefits of having professionals carefully and routinely monitor blood pressure and heart function at a time when one is inevitably fearful about regaining physical strength and endurance after a heart attack.  One feels safe exercising because of all the careful, close supervision.  Confidence, confidence, confidence is a prime benefit of a participating in a cardiac rehab program.

 

If mending broken hearts is a priority, then clearly more must be done to get more heart attack survivors and heart disease patients into cardiac rehab programs.  This is really heartwise.

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www.delusionaldemocracy.com

Joel S. Hirschhorn is the author of Delusional Democracy - Fixing the Republic Without Overthrowing the Government (www.delusionaldemocracy.com). His current political writings have been greatly influenced by working as a senior staffer for the U.S. Congress and for the National Governors Association. He advocates a Second American Revolution, beginning with an Article V Convention to propose constitutional amendments. He is Chair of the Independent Party of Maryland.

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Hater of Nazis above all. Hobbies include activism, military model building, military history, exciting and vital conversation with retired crooks. Retired
John HanksHater of Nazis above all. Hobbies include activism, military model building, military history, exciting and vital conversation with retired crooks. Retired

I dropped rehab because of the expense.

Then I figured out how cheap it is.  $63.00/mo. for 3 times per week, and I met some good friends too - mostly retired college profs.

by John Hanks (1 articles, 0 quicklinks, 0 diaries, 1047 comments) on Thursday, March 6, 2008 at 12:12:22 PM
 

 

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