الفهرس 
HISTORICAL BACKGROUND OF CARDIAC REHABILITATIONOnly 14 pages are availabe for public view
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Abstract
C
ardiac rehabilitation is the provision of comprehensive long-term services involving medical evaluation; prescriptive exercise; cardiac risk factor modification, education, counseling, and behavioral interventions. The AHCPR guideline highlights the effectiveness of multifaceted and multidisciplinary cardiac rehabilitation services integrated in a comprehensive approach. The goal of this multifactorial process is to limit the adverse physiological and psychological effects of cardiac illness, to reduce the risk of sudden death or reinfarction, to control cardiac symptoms, to stabilize or reverse progression of the atherosclerotic process, and to enhance the patient’s psychosocial and vocational status.
The aim of the present study was to evaluate the Cardiac Rehabilitation Program of patients with prior Myocardial infarction in Ain Shams University
Thirty patients were enrolled in the CR program which included an intensive patient education program about the nature of CAD, risk factor management, alarming symptoms of myocardial infarction, return to physical and sexual activities and work resumption. The Patients also received education about diet modification as well as psychological support. Education was performed by individual/ group counseling and supported by educative videos in Arabic and print- out reminders.
Patients were exercised twice weekly for twelve weeks using Freemotion treadmill at a low intensity protocol with intensity starting from 1.6 km/h. and gradually rising to 5 km/h. Exercise was monitored by Borg scale, ECG, HR, and blood pressure responses provided no signs or symptoms of Ischemia (AACVPR Guidelines For Cardiac Rehabilitation, 2004).
Patients with CAD who were enrolled in the cardiac rehabilitation program showed significant improvement in QOL, functional capacity, besides adopting healthier life style, particularly exercise habits and physical activity level in addition to improved psychosocial functioning and enhanced return to work.
Patients LDL, and BP were significantly improved after twelve weeks of CR program. Other risk factors as BMI and HbA1c did not reach target levels. This may due to short term of follow up of patients.
On the basis of the results of this study, Attempts to improve individual secondary prevention outcomes should be designed.
CR is a novel program in Egypt (the CR program at Ain Shams University).we hope that more CR programs are established in other governmental hospital and provide more effective venue for the secondary prevention of CAD and to improve QOL of cardiac patients. Greater emphasis must be placed on the referral of all appropriate patients to CR programs after major CHD events.