Deepa Merin Kuriakose Asst.Professor Govt.College of Nursing Kottayam, Kerala, India jensensaam@gmail.com

1. CARDIAC
REHABILITATION

2. DEFINITION
Cardiac rehabilitation is the process that restores optimal
medical, physiological, social & vocational performance
following recovery from an acute cardiac event (AACVPR –
1995)
Cardiac rehabilitation is described by the American
College of cardiology as “those exercise and counseling
services which reduce symptoms or improve cardiac
function”
Cardiac rehabilitation is defined by the U.S. Public Health
Service as “comprehensive, long-term programs involving
medical evaluation, prescribed exercise, cardiac risk factor
modification, education and counseling.

3. Corner Stone of Cardiac
Rehabilitation
Reduction of Cardiac risk factors
Exercise & activity guidelines &
Patient education

4. Goals of Cardiac Rehabilitation
(Balady etal – 1994)
To improve functional capacity
To alleviate or lessen activity-related
symptoms
To reduce disability
To identify and modify coronary risk
factors.

5. Indications
Active myocardial infarction
Coronary Artery Bypass Surgery (CABS)
Percutaneous Transluminal Coronary
Angioplasty (PTCA)
Valvular replacement
Pacemaker implantation

6. Phases of Cardiac Rehabilitation
Phase I : Inpatient
Phase II : Immediate Outpatient
Phase III : Intermediate Outpatient
Phase IV : Maintenance Phase of
Indefinite Length

7. Benefits of Cardiac Rehabilitation
Reduce cardiac mortality
Improve functional capacity
Improve exercise capacity
Lower serum lipid levels
Enhance psychosocial well-being & stress reduction
Attenuate myocardial ischemia
Retard the progression & foster reversal of coronary atherosclerosis
Reduce the risk of further coronary events

8. Program Components
Risk factor modification
Exercise training & activity prescription
Psychosocial & vocational evaluation &
counseling

9. Thank You
Deepa Merin Kuriakose,
3rd Semester MSc Nursing
Govt. College Of Nursing, Kottayam