Importance of Cardiac revalidation exercise

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"

Read More

Best way to diagnoses of the constipation

Constipation is not a disease as such but rather a symptom that, given its enormous frequency, raises a number of visits to the family doctor and in the worst case the digestive specialist. It is important to know that constipation also may be a consequence of a disease or condition such as thyroid problems with liver, gallbladder, menopause, pregnancy and bowel obstruction. It is also reality that constipation is a symptom usually benign, that is easily solved if caught early and if not due to specific disease it causes, which is the most common.

Careful medical history, asking about dietary factors, sociocultural, toxic habits, suffer diseases and their treatments and characteristics of constipation, are often sufficient to guide the diagnosis.

How we can diagnose the constipation?

The key factors of diagnose the constipation are a vast subject but some important factors are as following:-

 It is important to assess the duration and age of the patient is not the same as the occurrence of constipation in children than in adults. In children, chronic constipation is almost always functional etiology.

It is also important to investigate the characteristics of stool and if they are or not accompanied by abdominal pain. Scybalous issuing or "pellets" with mucus is characteristic of spastic constipation, while the emission of blood or stool suggests hemorrhoids, proctitis or tumors.

It is important to determine where the fecal transit disorder and it is important for the history (interrogation), asking the patient whether or not bowel movements.

If you have a bowel movement but can not expel stool, think in an anorectal disorder.

If you rarely feel like defecating, think of a colon disorder. In these cases the feces do not reach the rectum.

You can also request a blood test determining blood glucose, ions, thyroid studies, serum calcium and fecal occult blood that will allow us to focus some common causes of constipation.

The main maneuver rectal examination is an essential part of the physical examination, and you should never miss as to identify mechanical problems or anal sphincter tone.

A diagnostic test that may be ordered is the colonoscopy, which involves inserting into the anus of a probe light provided to visualize the inside of the large intestine. It also has the colonoscopy that uses a probe further than the previous X-rays and contrast, such as the Opaque Enema (radiography year after the introduction of a special solution to view intestine) so as to reveal lesions that obstruct the bowel .

Only in very special cases other tests ask you refine or confirm an initial diagnosis: rectal manometry, electromyography, defecography, etc.

Read More

What is the Constipation, its symptoms and its causes?

Constipation is difficult to define because it is a huge problem subject to individual variability or, which is, to a great subjectivity so that you can understand how a depositional rate normal. We understand as depositional rate, the frequency with which we went to the service to evacuate. In the general healthy population, the depositional rate ranges from 3 times a day and 3 times a week, making defecation painlessly and effortlessly in most cases, in addition to having to end the feeling of complete evacuation.

Constipation is not a disease as such but rather a symptom that, given its enormous frequency, raises a number of visits to the family doctor and in the worst case the digestive specialist. It is important to know that constipation also may be a consequence of a disease or condition such as thyroid problems with liver, gallbladder, menopause, pregnancy and bowel obstruction. When constipation becomes chronic, predisposes the onset of rheumatism, arthritis, hypertension and even cancer as it spreads through the bloodstream, toxins throughout the body.

Symptoms of Constipation

The main symptoms of constipation are:

• Pain and difficulty evacuating
• Abdominal swelling
• Dry, hard stools
• Infrequent bowel movements (once every 4 days or more)

What are the causes of constipation?

• As we mentioned above, one must distinguish occasional constipation, certain diet product, food or habit, chronic constipation is to require a study by the medical practitioner. It is necessary to note that normally play in unleashing multiple factors and is difficult to establish which one is more important.
• Traditionally established pathological groups can produce constipation, such as, functional problems or bowel motility, idiopathic constipation, Hirsch sprung disease.
• Specific diseases that present with constipation: Metabolic diseases such as diabetes, hypothyroidism, uremia, porphyria.
• Mechanical obstacles in the defecation: tumors, rectal stricture.
• Iatrogenic or drug side effects: Codeine, Antacids.
• Abdominal plain film.
•  Diet low in fiber
• Certain social habits, cultural, emotional, Physical inactivity, and depression.

• In many cases, constipation is the only symptom, but sometimes is accompanied with other secondary symptoms such as bloating, abdominal swelling, bloating, mild abdominal discomfort, headache, etc...

Read More