What revalidation heart?
Cardiovascular disease is the leading cause of mortality in the
world. Each year, they are responsible for more than 200,000 hospitalizations.
Previously, heart patients should primarily rest after an incident or
intervention. Today, they are prescribed revalidation heart to resume an active
life as normal as possible. This consists mainly of rehabilitation exercises
such as walking or cycling. Sometimes, these exercises are combined with other
interventions, such as dietary advice or assistance to quit smoking.
Effect of exercise in Cardiac revalidation
Cardiac revalidation exercise has a positive effect on the
quality of life of cardiac patients and decreases the number of
hospitalizations and deaths. This is the main conclusion of a study published
by the Federal Centre for Health Care Knowledge.
The researchers concluded that the exercises have a positive
effect on the quality of life of cardiac patients with cardiac risk is low to
moderate. The exercises also reduce the number of hospitalizations and deaths.
Scientific data are currently lacking regarding patients with high cardiac
risk.
The multidisciplinary rehabilitation including exercise also
has a positive effect, but the value of each participant, as dietician or
tobaccologist is not clear. An assessment of their specific contribution is
advised.
According to study held in Belgium
The study analyzed data from more than 29,000 patients who
underwent cardiac surgery in Belgium. One in three patients did not follow any
revalidation. Less than half began a multidisciplinary rehabilitation and 10%
of these patients, it is limited to one session during hospitalization. After
hospital discharge, less than half of the patients continued revalidation.
Specifically, the elderly and women are less likely to
follow a multidisciplinary rehabilitation. Another factor highlighted is the
distance to a rehabilitation center recognized: cardiac patients who live in a
district without this type of center are almost never follow rehabilitation
after hospitalization.
The main reasons advanced by respondents for heart patients
do not follow the proposed revalidation are a lack of time, the idea can also
heal without treatment, distance to center and lack of transportation. These
same reasons are given to justify the discontinuation of treatment, with
further professional obligations, other physical problems and costs.
Recommendation of Federal Center for health care knowledge
FEDERAL CENTER FOR HEALTH CARE KNOWLEDGE recommends that the
cardiovascular risk profile is established for each cardiac patient to hospital
discharge (smoking, eating ...). In addition, a suitable exercise program based
on the advice of a specialist cardiac rehabilitation should be initiated and
rehabilitation sessions should be organized to address the risk factors
highlighted.
According to the FEDERAL CENTER FOR HEALTH CARE KNOWLEDGE,
all of these sessions should ideally continue for several months and take place
near the patient's home, rather than just allowing them only in recognized
centers. In addition, the GP and the cardiologist should educate their patients
about heart the importance of exercise. If they do not follow the
rehabilitation program, physicians should systematically investigate the
reasons and possibly consider with the patient alternatives.
At the end, the Federal Center for expert health care emphasizes
that life followed by the attending physician is necessary to anchor in the
daily patient "good habits"
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