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Cardiac Rehabilitation Steps for Heart Patients

June 19 / 2025

cardiac and pulmonary rehabilitation

 

 

     Cardiac and Pulmonary Rehabilitation is a crucial process designed to help patients with heart conditions and those recovering from cardiac events return to normal daily life. This is achieved under the supervision of a specialized medical team dedicated to cardiac and pulmonary rehabilitation, aiming to enhance quality of life and reduce the risk of recurrent heart disease.

 

Cardiac and Pulmonary Rehabilitation

     Cardiac Rehabilitation is a vital process to strengthen the heart, lungs, and blood vessels. It involves guided exercise and close monitoring of the body's response under the care of a specialized medical team, emphasizing correct exercise techniques and lifestyle modifications.

 

Who Should Undergo Cardiac and Pulmonary Rehabilitation?

Cardiac and Pulmonary Rehabilitation is suitable for various patient types. Ramkhamhaeng Hospital's Heart Center recommends it for:

 

  • Patients with ischemic heart disease or those who have undergone cardiac catheterization, such as balloon angioplasty and stenting.
  • Patients who have undergone heart surgery, such as Coronary Artery Bypass Grafting (CABG).
  • Patients with arrhythmias.
  • Patients with pacemakers.
  • Patients with implantable cardioverter-defibrillators (ICDs) or those requiring cardiac and pulmonary rehabilitation.
  • Patients with pre-existing conditions such as lung disease, hypertension, diabetes, or hyperlipidemia.
  • Athletes seeking to plan their training for competition.
  • Individuals interested in maintaining their health through appropriate and safe exercise.

 

 

cardiac and pulmonary rehabilitation

 

 

 

Steps of Cardiac and Pulmonary Rehabilitation

     Individuals can undergo a cardiac evaluation at Ramkhamhaeng Hospital's Heart Center and contact the Cardiac, Pulmonary, and Exercise Rehabilitation Department on the 10th floor of Building 3. Service recipients will be assisted by staff at the counter for registration. The general steps are as follows:

 

1.  Cardiovascular Examination

     Heart Center staff will measure vital signs, including heart rate, blood pressure, and blood oxygen saturation. An ECG device will be attached to assess resting heart rhythm and detect signs of myocardial ischemia, arrhythmia, or myocardial injury to prevent potential harm.

 

2.  Body Composition Analysis

     Physicians and cardiac specialists will analyze body composition to assess the balance of muscle, fat, and other components, along with inquiring about symptoms. This evaluation determines the patient's physical capacity for activities and the extent, informing the exercise program design.

 

3.  Exercise Planning and Design

     Specialized physicians will define goals, plan, and design personalized exercise regimens. This includes selecting appropriate equipment, setting the duration for each exercise session, and monitoring progress for future adjustments and rehabilitation planning.

 

4.  Guidance

     Heart Center staff will demonstrate and advise service recipients on warm-up exercises to prepare their bodies before the main workout.

 

5.  Monitoring Test Results

     Patients begin exercising according to the program, closely supervised by specialists. Heart rate, rhythm, and blood pressure are monitored to ensure they increase appropriately. The body's response is assessed to confirm it aligns with the set objectives.

 

Specialists record data for the physician to evaluate the development of cardiac and pulmonary function after each rehabilitation session. This allows for appropriate treatment planning or medication adjustments, ultimately improving the patient's quality of life and enabling them to safely perform desired activities.

 

Technology and Exercise Equipment

1.  Telemetry Cardiac Rehab Management System

     This equipment monitors real-time cardiac activity during rehabilitation programs. It allows the Heart Center to collect, analyze, and summarize exercise results, providing data for tracking patient progress and informing treatment under close expert supervision.

 

2.  ECG Telemetry Transmitter

     This device monitors and detects abnormal heart conditions by measuring electrocardiograms during exercise, ensuring vigilance for any abnormalities that may occur.

 

3.  Leg Ergometer + BP + SpO2

     This exercise bike strengthens leg muscles and enhances cardiac function. It connects to the cardiac rehab management system to measure, store data, and assess the balance of blood pressure and blood oxygen levels with exercise intensity. The machine also controls the workload assigned to the patient during exercise.

 

4.  Arm Ergometer + BP + SpO2

     The Heart Center's recommended arm bike strengthens arm, shoulder, chest, back, and core muscles, as well as muscle endurance. Like the leg ergometer, it connects to the cardiac rehab management system, allowing control over exercise intensity and workload, and measuring/evaluating blood pressure and oxygen saturation.

 

5.  Treadmill

     A treadmill enhances the body's energy system for sustained activity, improving circulation and cardiac function. It also strengthens muscles and improves balance and movement.

 

6.  Hoist Fitness Multi-Station Gym

     This equipment strengthens various muscle groups, allowing patients to target specific areas for development as needed.

 

7.  Rowing Machine

     This exercise equipment engages both arms and legs, with movements involving arm pulling and leg pushing. This allows patients at the Heart Center to exercise both upper and lower body muscles simultaneously.

 

8.  Nustep T4R Recumbent

     This low-impact exercise equipment is suitable for the elderly, overweight individuals, and those with poor balance. It requires simultaneous arm and leg movement, strengthening these muscles and improving cardiac function.

 

9.  Impetus Air Bike

     Similar to the Nustep T4R recumbent, this low-impact exercise bike requires simultaneous arm and leg movement. The Heart Center deems it suitable for the elderly, overweight individuals, and those with poor balance, as it strengthens various muscle groups and promotes healthy cardiac function.

 

 

 

cardiac and pulmonary rehabilitation

 

 

 

Cardiac and Pulmonary Rehabilitation Center

     This program is also suitable for heart patients who have undergone balloon angioplasty and various types of heart surgery, as well as individuals with underlying conditions such as lung disease, hypertension, and diabetes. The aim is to improve patients' physical health, promote mental relaxation, enable them to resume normal daily activities, and significantly reduce the likelihood of disease recurrence.