1 / 11

GC&SU HEEX 4400

GC&SU HEEX 4400. Cardiopulmonary Rehab. & EKG Interpretation. Acute MI tx with 6-8 weeks hosp. Stringent physical activity for next 6 months. Exercise testing just begun. Medical therapy- narcotics for pain, digitalis for heart failure, an occasional NTG. Mortality from MI 30-40%.

zoltan
Download Presentation

GC&SU HEEX 4400

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. GC&SU HEEX 4400 Cardiopulmonary Rehab. & EKG Interpretation

  2. Acute MI tx with 6-8 weeks hosp. Stringent physical activity for next 6 months. Exercise testing just begun. Medical therapy- narcotics for pain, digitalis for heart failure, an occasional NTG. Mortality from MI 30-40% CadiovascularCare in 1950’s

  3. Pt not allowed to feed themselves, turn from side to side, or sit up in bed. No continuous EKG, no CCU, no beta blockers or CA Channel. Heart Failure was tx with Na restriction, digitalis, and diuretics. Poor prognosis. Framingham Heart Study begins. 1950’s cont.

  4. Framingham Heart Study • www.nhlbi.nih.gov/about/framingham/fhsbro.htm • Study began in 1948 • Continues to this day

  5. Rehab. begins Rehab. started 4-6 month Predominately uncomplicated MI’s Just exercise component. No telemetry ? Collateral blood flow, mortality, reinfarction 1960’s

  6. AHA early guidelines In-hospital ambulation Continuous EKG in new CCU units Hosp. stays decreased to 3-4 weeks. 14 – Step Early Ambulation Program Early ambulation for CABG pts. 1960’s cont.

  7. Exercise and risk factor mod. Controlled clinical trials Post MI – 3-6 months Mortality decrease by 25% + exercise tolerance Return to work 1970’s

  8. Exercise Rx Drug Therapy Research Lower intensity and longer durations. Broader spectrum of pts AACVPR – American Ass. Of Cardiovascular & Pulm. Rehab. 1980’s

  9. Resistance Training Insurance Reimbursement Earlier Rehab. Outcome measurement Case Management Ind. vs Group & Center vs Home 1990’s

  10. 1990’s cont. • Multi-factor risk reduction • Identify Risk Factors • Team approach to modify

  11. Outcomes Risk Stratification Telemetry Rehab. Reimbursement Physician Referrals 21st Century

More Related