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The CAPRI STORY

The CAPRI STORY. Two Decades Of Innovation and Service. Howard Pyfer, MD. 1966 – “ If exercise is beneficial for the healthy individuals, why isn’t it equally beneficial for those with coronary heart disease”. Existing Programs. 1958 – Case Western Reserve Univ. –Herman Hellerstein, MD

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The CAPRI STORY

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  1. The CAPRI STORY Two Decades Of Innovation and Service

  2. Howard Pyfer, MD • 1966 – “ If exercise is beneficial for the healthy individuals, why isn’t it equally beneficial for those with coronary heart disease”

  3. Existing Programs • 1958 – Case Western Reserve Univ. –Herman Hellerstein, MD • San Diego State Univ. – Cardiac Rehab. – Fred Kasch • North American Aviation – Corporate Program – R.H. Morrison

  4. Tx Realities of 1960’s • Angiography was being developed • CABG was experimental • Paramedics not available • Women with heart disease – simplify tasks • Men with heart disease - retire

  5. In 1968, Pyfer wanted to begin a rehab. in the Pacific Northwest. Pyfer combined with Doane, a YMCA physical director in downtown Seattle to start a program.

  6. 10 Men volunteer to participate Stationary Bike for testing Portable EKG Defibrillator Oscilloscope O2 - donated Pyfer’s Rehab. Begins

  7. Lower resting, submaximal, & recovery BP’s Aerobic Capacity – increased 45% Fewer Arrhythmias Less Angina Improved Sense of Well Being Outcomes

  8. Name Given • 1969 – Name Given - CAPRI - Cardiac Arthritis Pulmonary Research Institute. • The word Arthritis was soon dropped and the word “And” replaced it.

  9. Critics • King County Medical Society complained that CAPRI was engaging in a potentially harmful medical practice. • Unannounced visits • Next 10 years – No reason to cite program

  10. CAPRI’s Contribution • 1969 – 1st documented successful out-of-hospital defibrillation of a cardiac pt during group exercise. • Prophylactic administration of NTG • 1st documented use of defibrillator paddles to obtain rhythm traces during exercise.

  11. CAPRI’s Contribution cont. • 1970 – Cardiocard developed: photo-reduced 12 lead EKG & health hx on wallet sized card • 1974 – 1st documented successful resuscitation of two near simultaneous cardiac arrests during group exercise.

  12. Medical Insurance Coverage • Initially not covered • Arm wrestle for coverage • Private carriers followed (BC, etc.)

  13. Program Transition • 1,000 individuals b/t 1968-1976. • CAPRI sponsored approximately 10 programs in Northwest • Pyfer’s interest moves to prevention. Hospitals began to offer rehab.

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