Cardiac rehabilitation

Overview

Cardiac rehabilitation is a personalized program of education and exercise. The supervised program is designed to improve health in those with heart disease. It's often recommended after a heart attack or heart surgery.

Cardiac rehabilitation involves exercise training, emotional support and education about a heart-healthy lifestyle. Healthy lifestyle habits include eating a nutritious diet, managing weight and quitting smoking.

Cardiac rehabilitation can reduce the risk of future heart trouble and death from heart disease. The American Heart Association and American College of Cardiology recommend cardiac rehabilitation.

Cardiac rehabilitation also is called cardiac rehab.

Why it's done

Cardiac rehab is done to improve health in those with a heart condition or a history of heart surgery. The goals of cardiac rehab are to:

• Improve recovery after a heart attack or heart surgery.
• Reduce the risk of future heart trouble.
• Prevent the heart condition from worsening.
• Improve quality of life.

Your healthcare professional may recommend cardiac rehab if your medical history includes:

• Known blockages in heart arteries causing pain with activity.
• Heart attack.
• Heart failure.
• Cardiomyopathies.
• Certain congenital heart diseases.
• Blocked arteries in the legs or arms that cause pain during activity.

Cardiac rehab may be recommended after heart procedures that include:

• Angioplasty and stenting.
• Coronary artery bypass surgery.
• Heart or lung transplant.
• Heart valve repair or replacement.
• Procedures to open clogged arteries in legs or arms.

Risks

There is a small risk of heart-related complications from physical exercise. Cardiac rehab therapy is personalized. You do the amount of exercise and the kind of exercises that are right for you. Regular monitoring lowers the risk of complications.

Specialists help you learn to do exercises correctly to avoid injuries.

How you prepare

Before you begin a program, your healthcare team performs tests. They check your physical abilities, medical limitations and risk of heart complications. This helps create a cardiac rehab program that's safe and helpful for you.

Your treatment team then works with you to design your cardiac rehab program.

Cardiac rehab can begin while you're still in the hospital. But it's usually done once you're home. In most cases, the program has three weekly, one-hour sessions, over 8 to 12 weeks.

Some rehab centers have virtual programs with at-home sessions. Virtual programs may use:

• Telephone sessions.
• Video conferencing.
• Mobile phone applications.
• Wearable monitoring devices.

Check with your insurer to see if cardiac rehab is a covered expense. Private insurance, Medicare and Medicaid may cover the costs in the United States.

What you can expect

During cardiac rehab

Your cardiac rehab team may include:

• Heart doctors, also called cardiologists.
• Nurses specializing in both care and patient education.
• Nutrition specialists.
• Exercise specialists.
• Physical and occupational therapists.
• Mental health professionals.

Most cardiac rehab programs include the following areas:

• Exercise. A personalized exercise program usually includes:
  • Endurance exercises such as walking, cycling, rowing, jogging or machine stair climbing.
  • Muscle-building exercises with light weights or resistance bands.
  • Stretching or yoga to improve flexibility.
  • Supervision to check the heart and avoid injury.
  • Education and support for an at-home exercise routine.
  • Gradual increases in the difficulty of exercises.
• Nutrition. A specialist in diet and nutrition:
  • Provides information about healthy eating choices.
  • Helps you set goals for weight loss or control.
  • Helps with food choices to control diabetes, body weight, high blood pressure, high cholesterol or other risk factors for heart disease.
  • Helps you set goals and make a nutrition plan.
• Medicine and disease education. A nurse or other healthcare professional provides the following:
  • Information about heart disease or other medical conditions you may have.
  • Information about what medicines you take and why you take them.
  • Support to help you take your medicine as prescribed.
  • Support to help you manage risk factors.
• Mental health care. A mental health professional may provide:
  • Talk therapy to cope with stress, anxiety or depression.
  • Prescribe medicine to manage anxiety or depression.
• Lifestyle education. Other cardiac rehabilitation services may include:
  • Programs to quit smoking.
  • Information about healthy sleep habits.
  • Tests and possible treatment for sleep apnea.
  • Support with returning to intimacy after a heart attack or surgery.

After cardiac rehabilitation

After cardiac rehab ends, you should know how to do the exercises on your own and maintain a healthier lifestyle. Your program also may have a follow-up plan with your heart specialist or primary healthcare professional to watch your progress.

Results

Cardiac rehab can help you rebuild your life, both physically and emotionally. You'll get stronger and learn how to manage your condition.

Over time, cardiac rehab can help you:

• Decrease the risk of heart disease and related conditions.
• Follow heart-healthy behaviors, such as eating healthy and exercising regularly.
• Improve strength.
• Learn ways to manage stress and anxiety.
• Manage weight.
• Quit bad habits, such as smoking.

One of the most valuable benefits of cardiac rehab is an improved quality of life. Some people who continue with cardiac rehab end up feeling better than they did before they had heart surgery or a heart condition.