• vivekkakkar 23w

    #Cardiac Rehabilitation # Heart pump # cardio rehab #proud physio # managed stress life #sorted heart

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    Pump it the right way

    An interview on the Cardiac Rehabilitation and its scope in today's metropolitan lifestyle
    ©vivekkakkar


    Hi fellow Adams', eves' and the blessed ones.
    This edition i have been obliged to share my experience and understanding of Cardiac Rehabilitation and its scope in today's lifestyle.

    It's a world wide phenomenon, early 20's - 30's are the new heart attack age. And there are many theories ,speculations,suggestions and ideas. what we lack many a times then seldom is root cause analysis from a global perspective.A holistic overview.

    Heart is a pump -yes.
    Heart is an organ -yes.
    Heart is a gland - *YES*
    (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2279695/)
    Heart behaves with memory- *YES*
    HEART CAN BE CONDITIONED-yes
    Heart is trainable -yes
    Heart understands the need of body at various times-yes
    Heart also breathes-yes
    Heart also excretes -yes
    Heart is emotional -yes

    Hence the entire world denotes heart as themselves and personifies heart to be them at point and again .... But do we acknowledge the same once confronted with a dysfunction or a dis-ease?


    Enlisting cardiac(Heart) associated ailments will be enormous. To explain in permissible space & scope of this medium, putting forth the understanding i evolved with over the past few years of my clinical learning.

    Most common situations where cardiac rehab is advised to a patient in a corporate premium hospitals is cardiac surgeries and major cardiac traumas.
    Very seldom we find referrals in clinical establishment for wide spread cardiac ailments ,unless they reach the alarming stage.

    What are these CONDITIONS which can be brought under control OR which can help control the compensatory stress on the heart, with very subtle variations or effectively managed with cardiac rehabilitation principles?

    1.BLOOD PRESSURE:
    ( HIGH OR LOW BP)
    2. VARICOSE VEINS
    3. ASTHMA
    4. SHALLOW BREATHING/early fatigue
    5. POST ABDOMINAL-THORACIC OR FOR THAT MATTER ANY SURGERY( ANYTHING WHERE THE PATIENT IS PUT TO ANXIETY OR PSYCHOLOGICAL TRAUMA OF OPERATION THEATRE
    6. DENTAL PROCEDURES
    7. LENGTHY OFFICE HOURS
    8. STRENOUS PHYSICAL JOB STRESSES
    9. EMOTIONAL TRAUMA OF ANY NATURE.
    10. Any Accidents/Burns/Scars around thoraco-abdominal area.

    Cardiac Rehabilitation as explained by HEART.ORG IS a program which is customised to improve your cardiovascular health.

    Its a team effort of multidisciplinary approach including your doctor's,nurse pharmacist, family friends and but ofcourse your Physiotherapist.
    This program is designed to make you in-charge of your choices, lifestyle and habits that affect your heart so as to ensure that you get a stress managed healthy, nourished and active heartbeat.

    Ofcourse it is of much higher importance for those who had heart faliure or angioplasty or heart attack,BUT ROME WASN'T BUILT IN A DAY.

    We often neglect that subtle habits ensure that we keep our heart troubled at all times. A nagging head ,a constant worry, an unsettling list of desires,always aiming for more than you can, ensuring you keep excuses standby with addictions and toxin consumption.always attempting to feed your fight or flight response with more adrenaline rush rather than calming your self down and realising ground realities of the situation.over reaching debt and liabilities for peer pressure and social respect, phew.... And many more stresses are a few enlisted stressors which put your body under constant autonomic nervous system firing which tends to go unnoticed under the camouflage of life situations or what we lovingly call LIFESTYLE.

    THE ailments causing heart attack are less than the stressors ensuring you find ailments to blame for your heartattack.

    Today the often observed behaviour is such that even for a yoga class,there are few who get anxious of there performance and always compete with others over it.( Not accepting your limitations -however temporary they might be - is an ailment in itself)

    So this brings me to the second most common reason for ailments- DEHYDRATION.

    Oh Yes you drink 5 litres a day.

    One of the most common reply i get the minute i raise my concern on dehydration is the amount of water you drink, unconcerned with the absorption of it into the system.
    Overfiring adrenals will always keep kidneys in stress ,which will always push the water out with a very less rationale to the demand of the body.

    Dehydration is the most underrated condition with respect to cardiac ailments.(my observation)

    The best way to prevent this is to identify the stressors and address them aptly.once the underlying autonomic response of our body will be brought down , hydration can be addressed followed by nutrition.

    Next i bring my emphasis to the next underdog ,INSOMNIA.