Cardiac and Pulmonary Rehabilitation

If possible, please complete these forms and bring them with you to your first visit.

Cardiac (Heart) Patients

• Cardiac Education Quiz
• Dartmouth Quality of Life
• Rate Your Plate
• Patient Health Questionnaire (PHQ-9)

Pulmonary (Lung) Patients

• Pulmonary Education Quiz
• CAT Assessment
• Rate Your Plate
• Patient Health Questionnaire (PHQ-9)
• Pulmonary Self-Assessment
• Clothing: Please wear loose fitting clothing, preferably cottons or cotton blends. Shoes should be comfortable and designed for exercise with non-slip soles.
• Medications: Notify staff of any medication changes. If you have inhalers or nitroglycerine, please bring them to exercise sessions. If you are a diabetic, bring your glucometer, snack or glucose tablets to each session.
• No perfume or cologne allowed, no gum chewing while exercising.

During Phase II you follow an individualized program designed by your Cardiac Rehab Team and your doctor based on a complete, non-invasive and painless evaluation of your physical functioning. No matter what your fitness level or experience is, your Cardiac Rehab Team shows you how to follow your program at a safe, comfortable pace during three, one-hour sessions each week.

This phase will help you:

• Rebuild muscle
• Improve your body’s ability to use oxygen by building strength and endurance, and
• Increase your overall physical function and confidence.

During group exercise sessions supervised by a cardiac nurse you will wear a heart monitor, and your blood pressure will be consistently monitored to assure you are doing well. Should there be any sign of a problem, medical equipment and expertise are readily available.

This phase typically lasts 6-18 weeks with a total of 36 sessions. You should also attend weekly educational sessions on topics regarding lifestyle changes to help you reduce cardiac risk factors. There are five classes:

• Risk Factors
• Benefits of Exercise
• Stress Management & Being Mindful to your Mental Health
• Nutrition
• Medication Management

External Enhanced Counterpulsation (EECP®) Therapy

External Enhanced Counterpulsation is a safe, non-invasive outpatient treatment for ischemic heart diseases such as angina and heart failure. EECP® Therapy typically improves symptoms, exercise performance, and quality of life. Most patients sustain its benefits for more than two years.

Treatments are administered one hour a day, five days a week, for a total of 35 sessions. Patients lie comfortably on a table with large blood-pressure-like cuffs wrapped around their calves, thighs, and hips. The cuffs inflate and deflate at specific times between heartbeats, increasing blood and oxygen supply to the heart muscle, which improves its ability to pump blood throughout the body.

Talk with your doctor to see if EECP® Therapy is right for you.

To have lasting benefits from cardiac rehabilitation, you must make a lifelong commitment to exercise. The American Heart Association recommends that you join an exercise group, local gym, mall walkers program or start a walking group in your neighborhood. Our Phase III Cardiac Rehab program enables you to continue following your personal program in our medically supervised setting where you will receive support and encouragement as well as ongoing coordination of your care with your physician. It’s a great way to stick with the good exercise routines and healthy lifestyle choices you learned during Phase II.

Other tips for individuals having trouble exercising on their own include:

• Avoid temptation to completely give up on exercising because you missed a day
• Find ways to be more active during the day such as parking a little further away from the store
• Make exercise a routine that is done on the same days at the same times
• Try different types of exercise: swimming, biking walking, water aerobics and so forth
• Pace yourself and do not push to the point of chest pains or severe shortness of breath