Cardiac PRM

Question 1

What’s the DEFINITION of Cardiac PRM?

Answer 1

• It’s the SUM of Activity / Interventions requires to ensure the best physical, mental + social conditions
• So Px with chronic / post-acute CV disease can preserve / resume their place in society

Question 2

What is the Cardiac PRM TEAM?

Answer 2

• Cardiologist
• PRM Specialist
• Physiotherapist
• Dietician
• Occupational Therapist
• Psychologist

Question 3

What’s the PURPOSE of Cardiac PRM?

Answer 3

• To DECREASE the **Pathophysiological / Psychosocial Effects* of Heart Disease
• LIMIT RISK of Infarction / Sudden Death
• REVERSE / SLOW Down Atherosclerosis = Via Exercise / Counselling / Education
• REINTEGRATING Heart Px back into Society

Question 4

What are the GOALS of Cardiac PRM?

Answer 4

• DECREASE Cigarette Smoking
• IMPROVE Blood LIPID Levels
• IMPROVE Well-being / Stress / Exercise / Symptoms
• DECREASE Mortality

Question 5

What are the TYPES of EXERCISE, suitable for CV?

Answer 5

• Isotonic
• Rhythmic
• Aerobic = Walking / Jogging / Water Aerobics
• Resistance Exercise (Individually), BUT for MI Patients, wait 3-5 Weeks
• Include Warm Up / Cool Down Periods

Question 6

What is Exercise Intensity?

Answer 6

• Percentage % of MAX Capacity obtained on Exercise Tests = 02 Consumption / HR / Workload
• Based on Target HR = 70 - 85% Clearance HR

Question 7

Who is the **Cardiac PRM Programme* aimed at?

Answer 7

• Patient’s who’ve had an ACUTE Cardiac Event

Question 8

What are the PHASES of the PRM Programme?

Answer 8

1) ACUTE Phase

• Hospitalisation period, after acute cardiac event
• Duration = Usually 1 week
• Goals = Early mobilisation / adequate discharge planning

2) EARLY RECOVERY Phase

• Duration = 4 - 6 Weeks
• PRM = Focuses on Health Education / Resuming Physical Activity
• For 3x a Week, for 30 - 60 Minutes Daily

3) LATE RECOVERY Phase

• Duration = 6 - 13 Weeks
• PRM = Exercise training w/ Education
• Also there’s Psychosocial Intervention

4) MAINTENANCE Phase

• Long-term Maintenance of lifestyle changes
• PRM = 3x a Week, for at least 30 mins
• For the rest of their life

Question 9

What are the INDICATIONS of Cardiac PRM?

Answer 9

• Post MI Patients
• Stable Angina / HF
• Cardiomyopathy
• Cardiac Transplantation
• Post-Valve Replacement
• Peripheral Artery Diseases
• Risk of CAD w/ Diabetes Mellitus

Question 10

What are the CONTRAINDICATIONS of Cardiac PRM?

Answer 10

• Unstable Angina
• HIGH Systolic BP = HIGHER than&raquo_space; 200mmHg
• Aortic Stenosis
• Uncontrolled ARRs / Tachycardia
• Congestive HF
• Acute Pericarditis / Myocarditis
• Recent Embolism / Thrombophlebitis