CARDIAC PHYSIOTHERAPY

Cardiac rehabilitation is a vital program for recovery and prevention in patients with heart disease, focusing on exercise, education and emotional support. It aims to improve heart health and quality of life, reducing the risk of future heart problems.

WHAT IS IT AND WHAT OBJECTIVES DOES IT HAVE?

WHAT IS CARDIAC REHABILITATION (CR)?

At Fisiobat, we offer a multidisciplinary cardiovascular training program with supervised physical exercise. Additionally:

  • Detection and control of cardiovascular (CV) risk factors
  • Clinical follow-up of cardiac disease
  • Optimization of adherence to pharmacological treatment
  • Individual and group psychological and social support
  • Nutritional counseling

WHAT BENEFITS DOES THIS PROGRAM HAVE?

  • Increased quality of life
  • Decrease in cardiovascular events (angina, heart attacks, etc.)
  • Reduction in mortality from AMI
  • Increased life expectancy
  • Reduction in hospitalizations
  • Reintegration into their normal life as before the illness
  • Improved therapeutic adherence

CP RISK FACTORS:

  • Sedentary lifestyle
  • Smoking
  • Cholesterol and dyslipidemia
  • HTA (Hypertension)
  • Diabetes
  • Obesity or overweight
  • Stress
  • Prevent disability resulting from heart disease in working-age youth and older adults
  • Prevent CV complications, hospital admissions, and deaths due to heart disease

OBJECTIVES OF CR

EFFECTS OF CARDIOVASCULAR PHYSIOTHERAPY

  • Physical and Functional Capacity
  • Indirect prognosis
    • HDL Cholesterol
    • Blood Pressure
    • Heart Rate
    • Triglycerides and LDL cholesterol
    • Obesity
    • Incidence of diabetes (DM II)
  • Direct prognosis
    • Blood capillarity and collateral circulation
    • Coronary artery diameter
  • Improvement in endothelial function
  • Motivation and safety
  • Hospitalizations
  • Mortality
  • Myocardial ischemia
  • Control of angina effort
  • Anti-inflammatory action
  • Weight and stress
  • Thrombotic risk
  • Fatigue and dyspnea

INDICATIONS AND CONTRAINDICATIONS

INDICATIONS

  • In general, all cardiac patients, especially:
    • Ischemic heart disease
      • Myocardial infarction (MI)
      • Coronary artery disease: atherosclerosis
      • Coronary surgery
      • Angioplasty or STENT
      • Stable angina pectoris
    • Heart failure
    • Cardiomyopathies
    • Heart transplant
    • Stable valvulopathies
    • Pacemakers or ICD
    • Mechanical ventricular assistance (prosthesis)
    • CVA
    • Pulmonary HTA
    • Asymptomatic individuals prevention (metabolic syndrome, family history, severe HTA, …)

CONTRAINDICATIONS

  • • Absolute:
    • Aortic dissection aneurysm
    • Severe hypertrophic obstructive cardiomyopathy
    • Severe pulmonary hypertension
    • Temporary (can undergo CRP once stabilized)
    • Unstable Angina
    • Severe supra ventricular or ventricular arrhythmias
    • Decompensated pathologies
    • Acute infectious processes (pericarditis, thrombophlebitis, bronchopneumopathies, oncological processes…)

OTHER QUESTIONS

  • Sedentary lifestyle
  • Smoking
  • Cholesterol and dyslipidemias
  • Hypertension (HTA)
  • Diabetes
  • Obesity or overweight
  • Stress
  • Antiplatelets (ASA)
  • Statins
  • Beta blockers
  • ACE inhibitors
  • ARBs (Angiotensin II Receptor Blockers)
  • Diuretics (Aldosterone Antagonists)
  • Calcium Channel Blockers
  • Nitrates
  • Ivabradine
  • Ranolazine
  • Anticoagulants
  • SGLT2 inhibitors and GLP-1 agonists
  • Rapid-acting vasodilators (nitroglycerin)

2 sessions/week of 1h30′ with the physiotherapist:

– monitored physical exercise with a stationary bike combined with strength-resistance.

– We control throughout the session, while the exercises are being done, the constants:

blood pressure
heart rate
oxygen saturation

– Real-time electrocardiogram.

Completely safe and the patient always works within their cardiac margin agreed with their doctor.

  1. Visita y recomendación de tu médico
  2. Pruebas  Ergometría y Analítica
  3. Entrevista clínica en FisioBat

The ability to return to work varies depending on test results and medical indications specific to each individual. Returning to work has been shown to reduce the incidence of depression and other psychological disorders, in addition to having a positive impact on the prognosis of cardiovascular disease.

  • For prevention: 4 weeks.
  • For mild treatment: 8 weeks.
  • For intensive treatment: 16 weeks.

At FisioBat, the cardiac rehabilitation program is carried out from the age of 16 and always under the supervision of a doctor

It is an activity that can be practiced with caution and always consult with your doctor. Once the cardiac rehabilitation program is completed, you will be able to resume your sexual activity as before.

  • Cardiovascular diseases are the main cause of hospital admission.
  • They are the leading cause of death in the world according to the WHO.
  • There is a high psychological impact
  • Prolonged rest has a harmful effect on recovery.
  • The CRP has Class I and Level A scientific evidence, which is the highest level.
  • There is up to a 40% re-hospitalization rate in the first year without a CRP.