December 2005 1

Cardiac RehabilitationCardiac Rehabilitation

Are you or someone you knowAre you or someone you knowmissing the benefits ofmissing the benefits ofCardiac Rehabilitation?Cardiac Rehabilitation?

December 2005 2

What is Cardiovascular Disease?What is Cardiovascular Disease?

Cardiovascular diseases include:Cardiovascular diseases include: Coronary artery disease (CAD)Coronary artery disease (CAD) StrokeStroke High blood pressureHigh blood pressure Heart failureHeart failure AtherosclerosisAtherosclerosis Peripheral vascular diseasePeripheral vascular disease

It affects 70.1 million AmericanIt affects 70.1 million American In 2005 the estimated direct & indirect cost of In 2005 the estimated direct & indirect cost of

CVD is $393 BillionCVD is $393 Billion

December 2005 3

Cardiovascular Disease is Cardiovascular Disease is America's Number 1 Killer!America's Number 1 Killer!

All Other Causes

39%

Cancer23%

CV Diseases38%

December 2005 4

Coronary Artery DiseaseCoronary Artery Disease

13million Americans have a history of heart 13million Americans have a history of heart attack*, angina, or bothattack*, angina, or both– affects 7.1 million menaffects 7.1 million men– affects 5.9 million womenaffects 5.9 million women

1,375,000 Americans will have a new or 1,375,000 Americans will have a new or recurrent heart attack in 2005recurrent heart attack in 2005

*Heart attack is medically termed*Heart attack is medically termedmyocardial infarction or MImyocardial infarction or MI

December 2005 5

Coronary Artery DiseaseCoronary Artery Disease

MI is the MI is the single leading causesingle leading cause of death in America of death in America– 41% of all MIs expected this year will result in death41% of all MIs expected this year will result in death

0

200000

400000

600000

800000

1000000

1200000

2003

Num

ber

of H

eart

Att

acks

Non-fatal

Fatal

41%41%

December 2005 6

CAD Disease Risk FactorsCAD Disease Risk Factors

ControllableControllable

TobaccoTobacco LipidsLipids Blood pressureBlood pressure Physical inactivityPhysical inactivity Excess body Excess body

weightweight DiabetesDiabetes StressStress

UncontrollableUncontrollable

AgeAge GenderGender HeredityHeredity

December 2005 7

What is Cardiac What is Cardiac Rehabilitation?Rehabilitation?

Education for lifestyle Education for lifestyle modification and exercisemodification and exercise

Supervised by variety of Supervised by variety of health care professionals and health care professionals and requires physician referralrequires physician referral

An outpatient service at the An outpatient service at the hospital or clinic and hospital or clinic and

Meets two to three times Meets two to three times a weeka week

December 2005 8

ComponentsComponentsof Cardiac Rehab?of Cardiac Rehab?

Supervised progressive Supervised progressive exercise/activityexercise/activity

Nutrition Nutrition recommendationsrecommendations

Blood pressure and Blood pressure and cholesterol controlcholesterol control

December 2005 9

More … More …

Smoking cessationSmoking cessationStress managementStress managementWeight managementWeight managementDiabetes controlDiabetes control

December 2005 10

Benefits of ParticipationBenefits of Participation

Improved functional abilitiesImproved functional abilities

Improved quality of lifeImproved quality of life

Reduction of lifestyle related risksReduction of lifestyle related risks

Increased knowledge of disease process and prevention Increased knowledge of disease process and prevention strategies strategies

Improved ability to perform daily life activitiesImproved ability to perform daily life activities

December 2005 11

More benefits of participation...More benefits of participation...

Increased knowledge of heart Increased knowledge of heart diseasedisease

Increased self-esteem and Increased self-esteem and confidenceconfidence

Improved adherence to Improved adherence to healthy lifestyle choiceshealthy lifestyle choices

December 2005 12

Who Is Eligible for Who Is Eligible for Cardiac Rehab?Cardiac Rehab?

Medicare covers cardiac rehab for those who have had any Medicare covers cardiac rehab for those who have had any of the following:of the following:– Heart attack Heart attack – Bypass surgeryBypass surgery– Stents and InterventionsStents and Interventions– AnginaAngina– TransplantTransplant– ValveValve

Private insurances vary and will be reviewed and cleared by Private insurances vary and will be reviewed and cleared by staff prior to starting the programstaff prior to starting the program

December 2005 13

What is the cost of What is the cost of cardiaccardiac rehab rehab??

Most charges for outpatient cardiac rehab are Most charges for outpatient cardiac rehab are covered by insurancecovered by insurance

Staff will assist in evaluating coverage and Staff will assist in evaluating coverage and calculating out of pocket costs (if any) prior to calculating out of pocket costs (if any) prior to startingstarting

““Maintenance” programs are designed to help Maintenance” programs are designed to help patients continue their commitment to exercise. patients continue their commitment to exercise. These programs are not covered by insurance.These programs are not covered by insurance.

December 2005 14

Cardiac Rehab Professionals:Cardiac Rehab Professionals:Cardiac Rehab Partnership:Cardiac Rehab Partnership:

– Medical DirectorMedical Director– Referring Physicians Referring Physicians – NursesNurses– Exercise PhysiologistsExercise Physiologists– Dietitians/NutritionistsDietitians/Nutritionists– Social ServicesSocial Services– Psychosocial ServicesPsychosocial Services– PharmacistsPharmacists

December 2005 15

Why is Cardiac Rehab Why is Cardiac Rehab Important?Important?

Cardiac Rehab will give you the tools, Cardiac Rehab will give you the tools, knowledge, and motivation needed to fight the knowledge, and motivation needed to fight the progression of cardiovascular disease with yourprogression of cardiovascular disease with your

““heart and soul”!heart and soul”!