Friday, September 21, 2012

REHABILITATION AFTER HEART ATTACK

REHABILITATION AFTER HEART ATTACK 
After a heart attack, a rehabilitation program should have begun as early as possible, ie as soon as the patient's general condition allows. Of the approximately 70% of patients were still alive after a heart attack, it still has enough heart's ability to return to their previous occupation within 2-4 months after exposure to the attacks. Early rehabilitation can not be done when: 1. Shortness of breath, chest pain and palpitations pounding. 2. Heart rate over 120 beats / min or less than 50 beats / min, an increase of 20 times per minute in patients receiving beta-blocker drugs. 3. Irregular heartbeat. 4. Systolic blood pressure dropped 10-15 mmHg or even up 180 mmHg. 5. The change from normal graphs sign of oxygen deficiency increases muscle weight. Ideally before discharge from the hospital examination Train Heart minimum, approximately achieve the target heart rate should be 70% of maximum heart rate. Checks should be stopped if there is chest pain, tightness, fatigue, dizziness, muscle cramps, heart rate exceeds the recommended maximum. Train Heart Minimal use bicycles, patients were monitored ECG, blood pressure and heart rate before and after exercise. Maximum heart rate is adjusted for age: 20-29 years: 170 times / min 30-39 years: 160 times / minute 40-49 years: 150 times / min 50-59 years: 140 times / min 60-69 years: 130 times / min And in patients with myocardial infarction, heart rate attained during exercise should be reduced to 70% of maximum heart rate. Physical activity is highly recommended FEET ROAD. When you are able to walk 4.8 to 5.6 miles in 1 hour (equivalent to 4-5 mets = unit of energy needed by the muscle to do one continuous motion in one unit of time) without any complaints such as chest pain, shortness of breath, palpitations, etc., are considered able to work with the workload 3-4 mets such as office work, etc.. Especially with regard to sexual activity, must be known correctly as sexual activity increases systolic blood pressure and heart rate. Sexual activity requires an energy of about 3-4 mets in the pre and post orgasm, reaches orgasm while in the period 4-5 mets. So you should do when a new sexual activity has reached a former patient exercise ability for 5-6 mets, this ability according to the ability of climbing stairs. Before sexual activity, avoid: 1. Avoid sexual activity after a full meal or in a state of tired bodies. 2. Unpleasant atmosphere as heat, cold, uncomfortable atmosphere. 3. Use the position of least energy use, such as the position of 'side by side' 4. CALL immediately if shortness of breath or heart rate does not decrease after 15 minutes completed intercourse. 5. If the chest pain arises during intercourse, take the drug as soon as possible (such as nitroglycerin). If the chest pain does not go away immediately contact a doctor. 6. Many former patients who experience impotence, is most likely due to disruption of existing physical and psychological. Generally will go away. 7. Everything related to sexual problems, consult your doctor who knows about this.

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