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Cardiac Rehabilitation

Cardiac rehabilitation after heart attack, bypass, and stent — exercise and lifestyle program.

A structured program for people with heart disease that combines supervised exercise, education, and risk factor management to support recovery and long-term cardiac health.

Indication

  • Recovery period after acute myocardial infarction (heart attack)
  • Rehabilitation after coronary artery bypass grafting (CABG) surgery
  • Period after percutaneous coronary intervention (PCI/stent)
  • Stable heart failure
  • After heart valve surgery or heart transplantation
  • Stable angina and individuals at high cardiovascular risk

Preparation

  • Cardiology evaluation and ECG before starting the program
  • Generally started within 8-12 weeks after MI/CABG/PCI
  • Safe exercise intensity is determined with an exercise test (treadmill or bicycle)
  • Bring sportswear and appropriate footwear
  • All medications used and prior medical conditions should be reported to the team

How it's performed

  1. Heart rate, blood pressure, and ECG are monitored at each session
  2. Aerobic exercise (treadmill, bicycle) is performed at an intensity tailored to the individual
  3. Controlled resistance (strength) exercises and flexibility work are added
  4. Education on smoking cessation, nutrition, stress management, and medication adherence is provided
  5. Sessions are typically held 2-3 times per week for a total of 8-12 weeks

Post-procedure

  • At the end of the program, endurance, heart rate, and risk factors are reassessed
  • A home exercise program and daily step goal are planned
  • Hypertension, diabetes, and cholesterol monitoring are continued
  • Early follow-up if symptoms (chest pain, palpitations, shortness of breath) increase
  • Annual cardiovascular risk assessment is recommended

Risks

  • Transient changes in heart rate or blood pressure related to exercise
  • Musculoskeletal pain or strain
  • Rare arrhythmia episodes (managed promptly under supervision)
  • Very rarely, chest pain or recurrent ischemia

FAQ

When can I start rehabilitation after a heart attack?

It is started when the medical condition is stable, usually 8-12 weeks after the event or surgery; the decision is made by the cardiologist.

What are the benefits of the program?

Regular cardiac rehabilitation helps improve endurance, reduce symptoms, and lower long-term cardiac risk.

Am I safe during exercise?

Sessions are conducted under the supervision of an experienced team with ECG and blood pressure monitoring; intensity is adjusted individually for each patient.

Should I continue exercising after the program?

Yes. Regular aerobic exercise, balanced nutrition, and medication adherence are the foundation of long-term heart health.