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Cardiac Rehabilitation — Phase 3 Long-Term Follow-up

After acute coronary syndrome, the long-term maintenance phase aims at lifestyle change and exercise habit.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Cardiac Rehabilitation — Phase 3 Long-Term Follow-up?

Cardiac rehabilitation is divided into 4 phases: phase 1 (in-hospital, 1–7 days), phase 2 (outpatient, 6–12 weeks), phase 3 (community/home, 6–12 months), phase 4 (lifelong).

Phase 3 is a programme that takes 6–12 months which the patient continues at home or in a community centre after the outpatient programme.

It includes regular exercise, dietary education, smoking cessation, weight management and medication compliance follow-up.

Symptoms

Conditions in which it is targeted: post-myocardial infarction
Post-coronary bypass and stent
Stable angina pectoris
Heart failure (NYHA II-III)
Post-cardiac valve surgery
Post-heart transplantation
Peripheral arterial disease (PAD)

Risk Factors

Long-term programme compliance is variable in cardiac patients
Sedentary lifestyle and obesity continuation risk
Smoking restart risk
Depression and anxiety affect compliance
Distance to centre and lack of social support
Low income and educational level
Lack of family/spouse support

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Routine cardiology follow-up every 3–6 months is essential
  • Stress test repetition is required for chest pain or exercise intolerance
  • Definite evaluation must be made for arrhythmia and palpitation symptoms
  • Annual lipid profile, HbA1c and BNP follow-up are recommended

Treatment Methods

01
Aerobic exercise 5 days/week, 30–60 minutes (medium intensity)
02
Resistance training 2–3 days/week
03
Dietary regulation (Mediterranean diet)
04
Continuation of smoking and alcohol cessation
05
Stress management and cognitive behavioural therapy
06
Medication compliance (antiplatelet, statin, beta-blocker, ACEI)

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.