MET: Metabolic Equivalents, The oxygen your body consumes per unit of body mass. to the cardiac rehabilitation centre for any onsite appointments (including exercise classes). Phases of Cardiac Rehabilitation. 34. Mobilization- Post MI The classic Wenger cardiac rehabilitation program was to get individuals from bed rest to climbing 2 flights of stairs in 14 days. Sandesara, P. B., Lambert, C. T., Gordon, N. F., Fletcher, G. F., Franklin, B. Phase II. Cardiac rehabilitation and the physiotherapist’s role 10 Specialist knowledge, skills and competences 11 ... particular core component 3.2.1 Physical activity and exercise 5. Phase III of the program is the maintenance phase, where participants begin taking active control of their condition without constant monitoring. Thank you, {{form.email}}, for signing up. Phase 1 cardiac rehab starts in the hospital. program monitoring, I. Phase III sessions meet for one hour, three times a week. So, in May 2009, the Evesham Cardiac Rehab facility was launched as a pilot project. Read our, Medically reviewed by Richard N. Fogoros, MD, Medically reviewed by Yasmine S. Ali, MD, MSCI, Medically reviewed by Stuart Hershman, MD, Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Jonathan Cluett, MD, Medically reviewed by Erin Pereira, DPT, OCS, Verywell Health uses cookies to provide you with a great user experience. Training sessions included stretching exercises, walking (including education of the frequency, duration, and intensity of walking), pulse controls in allowable range, and some points on benefits of walking. Your physical therapist will also ensure that you are fully capable of monitoring your own exercise and activity intensity. Prepare your muscles by taking a 5-10 … Cardiac Rehab is designed to help patients with heart disease recover faster from cardiac surgical procedures, maximize quality of life and return to full and productive lives. Typical exercises performed during phase 3 cardiac rehab include:. Your provider may … PURPOSE: There is an inverse relationship between phase 2 cardiac rehabilitation (CR) visits and all-cause mortality. Patients referred who are not seen at phase 1 are sent an invite letter for the cardiac rehabilitation programme with a consent form to complete and return. Phase I—Begins in the hospital. Time to rethink phase 1 cardiac rehabilitation . Stretch warm muscles only. Phase 3 cardiac rehabilitation is the next step in the continuum of physical therapy after a cardiac event. Phase III is an extension of Phase II with the emphasis to further achieve your goals through self-structured exercise sessions. Phase III. Phase III cardiac rehab exercise - for those recently out of hospital. Cardiac rehab is a medically supervised program designed to improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery. The four phases of cardiac rehabilitation. This non-EKG monitored program offers ongoing exercise, education and support while making important lifestyle changes. Phase III is an extension of Phase II with the emphasis to further achieve your goals through self-structured exercise sessions. After the 6-12 week course of cardiac rehabilitation has finished, people ‘graduate’ and are invited to attend ongoing community based exercise programmes (Phase 4). Phase 3 cardiac rehabilitation often occurs in a group exercise setting. This is a "self-pay" program for patients who have completed Phase 2 Cardiac Rehab. Exercise programs are individually tailored and may include the following equipment: Participates will attend sessions three times weekly for one hour. Brett Sears, PT, MDT, is a physical therapist with over 15 years of experience in orthopedic and hospital-based therapy. Learn more about cardiac rehab, a medically supervised program, offered by Memorial Hermann Heart & Vascular Institute. bringing into the heart of our city 2,000 employees. Completed Phase II cardiac or pulmonary rehab? Exercise is a type of physical activity. Phase II – a monitored outpatient program of exercise and risk factor modification. There are three phases to Cardiac Rehabilitation at St. Mary. The goal is for you to become independent enough with exercise to move to the last phase of your recovery program. Background: Patients who have completed Phase II cardiac rehabilitation have low rates of maintenance of exercise after program completion, despite the importance of sustaining regular exercise to prevent future cardiac events. During phase three, a comprehensive wellness plan is formed that is meant to guide the patient in making heart-healthy lifestyle choices going forward. Phase three is a maintenance program. Many people in phase three cardiac rehab will attend education classes and exercise programs that are … UpperCut Images / Getty Images. It is the time when you work on gradually increasing your exercise tolerance following your operation. Here are some sample exercises that you may do in rehab or incorporate into your program at home. What is Post Intensive Care Syndrome, And How Can PT Help? Your physical therapist will ensure you progress safely through the program with the ultimate goal of having you move on to independent exercise in phase 4 cardiac rehabilitation. To be effective, the changes you have made in the previous 3 phases of Cardiac Rehabilitation should be maintained for the rest of your life. Cardiac rehabilitation, also called cardiac rehab, is a customized outpatient program of exercise and education. Phase II: A 10-12-week outpatient program, with a physician referral. Phase 3 (Maintenance) Heart patients who have completed Phase 2 or need less supervision are encouraged to participate in Phase 3. Specific measures he or she may take include, but are not limited to:. Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. You can divide cardiac rehabilitation into four phases. Contact is maintained with consenting patients via telephone/e-mail until they come for their pre rehab assessment appointment. This retrospective study describes the association between phase 3 CR participation and clinical events among patients with ischemic heart disease after completion of phase 2 CR. You should only use them if you have received a cardiac rehabilitation assessment and started or completed a programme. Phase III – designed for patients who have completed Phase II and wish to maintain cardiac fitness. Your rehabilitation exercises will consist of three key parts: a stretching/warm up portion, cardio exercises, and strengthening exercises. Never hold your breath when doing strengthening exercises as this can make your blood pressure rise too steeply. By participating in cardiac rehab and working closely with your PT and doctors, you can be sure to return to a healthy lifestyle. Phase III is divided into one month segment with … Cardiac rehabilitation consists of 3 phases. Phase I Cardiac Rehabilitation. This retrospective study describes the association between phase 3 CR participation and clinical events among patients with ischemic heart disease after completion of phase 2 CR. This program is available to patients after completion of the phase two program or for patients that do not require cardiac monitoring during exercise. Each of the standards within this publication are designed to meet a given core criteria and should be regularly monitored through audit 6. Tailor exercise prescriptions; Assign vitals monitoring; Administer education; And much more; Our goal is to provide physicians and cardiac rehab professionals with the best resources, tools, and support for virtual cardiac rehab to help you and your patients flourish. Phased 3: Supervised Maintenance This phase is open to the public and offers an ongoing, supervised cardiac exercise program for those who need to exercise. Cardiology services at Marymount Hospital. Under the supervision of our professional and compassionate staff, this program will provide motivation and support to help you continue working toward a healthy lifestyle. Because of the demand and the accommodation limitations, it was decided to relocate the Evesham Vale Cardiac Rehab facility to Evesham Leisure Centre, where larger class sizes could be accommodated. Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. Nebraska Medicine. Typical outcomes measures used during phase 3 cardiac rehab include the 6-minute walk test and the timed up and go test. Updated March 13, 2018. Phase 3 cardiac rehabilitation is one step in the continuum of care that you may experience after a cardiac event like a heart attack or open heart surgery. During cardiac rehab, patients participate in supervised exercise, health education sessions and counseling. How Long Does Phase 3 Cardiac Rehab Last? In an uncomplicated myocardial infarction (MI) this may be as soon as 1-2 days after being admitted for an MI. Phase 2 is a medically supervised program and includes education, support, and exercise. This is done to prepare you for phase 4 cardiac rehabilitation: independent exercise and lifestyle modifications.. Take charge of your continuing Cardiac Rehabilitation - After the completion of Outpatient Cardiac Rehabilitation, our team can help you make the transition to an exercise program at a Health First Pro-Health & Fitness Center near you. By the time you reach phase 4, it is hoped you are ready to exercise alone, or in a community based exercise group. Phase III "post-intervention" sessions at the Centre are run by a team from the Hampshire Hospitals NHS Foundation Trust (HHNHSFT), and deal principally with patients recently discharged from heart treatment at the Trust's hospital in Basingstoke. Workout sessions are conducted in the Rehabilitation Center at multiple OSF HealthCare locations. People of all ages can benefit from cardiac rehabilitation. Cardiac rehabilitation doesn’t change your past, but it can help you improve your heart’s future. Helpful, trusted answers from doctors: Dr. Bress on cardiac rehab phase 3: Babylon heart center in babylon 200 west main street west babylon ny. These techniques may include using the Borg scale, learning to take your heart rate, or using a heart rate monitor to assess exercise intensity while working out. Breathe out during the action phase of the exercise and breathe in on the return phase. Demand for Phase 4 classes soon became too large for the rowing club accommodation, and Phase 3 classes soon reached capacity. There are 3 phases in cardiac rehabilitation. Phase III: Exercise and support to maintain improvements and strength. Phase II cardiac rehabilitation consists of: individual, one-time orientation with an exercise … - 3 - Words to Know Here are some key words about your exercise program that will be used in this book or you may have heard during class. 4 Stages of Cardiac Rehab to Return to Your Life After a Cardiac Event, Virtual Reality Headset Use in PT: A Novel Approach to Rehab, How to Prepare for Your First Physical Therapy Appointment, Simple Methods to Keep You Motivated in Physical Therapy, Maintain Your Sternal Precautions With These 5 Ideas, Pectoralis Rupture: What to Expect from Physical Therapy, Sternal Precautions and How to Maintain Them in Physical Therapy. As you progress through phase 3 cardiac rehab, your physical therapist will likely give you more and more independent exercises and activities. Each phase is designed to meet the individual needs of each patient and includes cardiovascular risk-factor education and counseling, emotional support and exercise activities. Phase II is completed in the ACRMC Cardiac Rehab department, where the rehabilitation focuses on helping the patient regain independence through exercise and education. Cardiac rehab programmes last for up to 10-12 weeks and the sessions usually run for approximately 2 hours at a time. Cardiac rehabilitation (rehab) typically includes an outpatient program. Is Walking Good for Congestive Heart Failure Patients? According to VeryWell Health, “You are usually ready to start phase 3 cardiac rehab when your vital signs, such as heart rate and blood pressure, remain stable as you increase your activity and workloads prescribed in the sub-acute phase of cardiac rehab.” Typically, a full Phase 3 cardiac exercise and training rehab program will comprise 36 outpatient sessions, although some patients may need … If you have had a cardiac event like a heart attack, then you may benefit from a 4 step cardiac rehabilitation program. Our guide will show you what puts you at risk, and how to take control of your heart health. Phase 2 Cardiac Rehabilitation Physiotherapy Instructions Physiotherapy Department 01 2936692 _____ Phase II Cardiac Rehabilitation is the phase immediately following discharge from hospital. No physician's referral needed. PURPOSE: There is an inverse relationship between phase 2 cardiac rehabilitation (CR) visits and all-cause mortality. Although cardiac rehab has been associated with improved quality of life and survival rates, the majority of people do not participate in cardiac rehab. A., Wenger, N. K., & Sperling, L. (2015). We strive to …. The program is designed to help you improve your health and recover from a heart attack, other forms of heart disease or surgery to treat heart disease. Phase I: Clinical phase This phase begins in the inpatient setting soon after a cardiovascular event or completion of an intervention. Patients are encouraged to begin the program within 2-4 weeks after discharge from the hospital. The rehabilitation received from the NHS programme, otherwise known as ‘Phase 3’ is provided by the Cardiac team and usually runs for … Available in select locations. Stretch warm muscles only. Aerobic exercise, such as walking or cycling, make up the majority of cardiac rehabilitation exercises. Evesham Rowing Club kindly allowed the pilot project to proceed by providing free accommodation. Marymount Hospital a Cleveland Clinic Hospital. How long should I be enrolled in a cardiac rehab program? The Major Objectives Of Phase I Include:. Medicare covers approximately 80 percent of the cost of cardiac rehabilitation. 33 Phase III Cardiac Rehab. Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. There are 3 phases in cardiac rehabilitation. Cardiac rehabilitation and risk reduction: time to “rebrand and reinvigorate”. Here you will be learning and practicing an exercise program you will continue for the rest of your life. Patients are referred to all three phases by their family physician or cardiologist. Phase 3 cardiac rehab involves more intensive exercise and activity while you continue to monitor your body's response to increased workloads. A physical therapist is one health care professional that you will likely work with during cardiac rehab.. Phase III is an exercise program that is usually held at a athletic club or the YMCA ; It is characterized by a much lower level of monitoring. By using Verywell Health, you accept our. Exercises to increase flexibility, upper body strength, and lower body strength Phase III cardiac rehabilitation typically lasts three to four weeks and may take place in a group setting. This is also the phase where co-management between an exercise specialist and physiotherapist starts. Phase 3 cardiac rehab involves more intensive exercise and activity while you continue to monitor your body's response to increased workloads. Phase III is designed to help you continue to maintain a healthier lifestyle through supervised exercise sessions and health education. Phase 3 is an optional maintenance program available at select SSM Health locations. This may have specific benefits as you will be able to socialize with others and see how others are progressing with their own cardiac rehab. Cardiac Rehab Program: Stretching Exercises Walk around the room, step side to side, ride a bike or walk on a treadmill for at least 5 minutes to warm up before doing these stretches. Aerobic exercise (according to phase III cardiac rehabilitation) was taught to patients in CR group and CR and PMR group. Return to the Cardiac Rehabilitation homepage, Rubber soled shoes with arch support are recommended, Do not eat a heavy meal prior to exercise session, Medication should be taken on your normal schedule. Under current practices, clinicians have modified the classic program of cardiac rehabilitation in of 3–5 days . Phase 2 cardiac rehabilitation involves structured and closely monitored exercises and activities. Patients are scheduled for three days a week for up to twelve weeks. PHASE II. Cardiac rehabilitation is a medically supervised program that has been shown to reduce the risk of re-hospitalization, lessen the need for cardiac medications and encourage a return to work following a heart-related illness. You can notify your physiotherapist by phone if you are going to miss multiple exercise classes. Phase 3 onwards would be when the intensity of exercises to increase towards the high intensity zone and some of you may even be performing high intensity exercises after just completion of 2 or 3 sessions in this phase. This support was forthcoming from Worcestershire Acute Trust, whose specialist staff deliver Phase 3 cardiac rehab classes. We kindly ask you to call to notify us and reschedule any individual appointment or missed workshop. Cardiac rehabilitation: Outpatient - Phase II. Feb 1, 2018 … Attachment III sets forth the changes in the Part D payment … Attachment VI provides the draft CY 2019 Call Letter for MA … phase out, and ESRD rates discussed in Attachment II; Medicare Part D Benefit Parameters:. The program is comprised of three phases. This program still includes exercise supervised by a registered nurse, but is more independent. Exercises to increase flexibility, upper body strength, and lower body strength; Phase III cardiac rehabilitation typically lasts three to four weeks and may take place in a group setting. Head and Neck Tilt your head to the right as if you are trying to touch your right ear to your Phase 3 CR is a maintenance exercise program for which clinical outcomes are uncertain. Individuals in cardiac rehab programs are referred by physicians and other health professionals. Independent Ongoing Maintenance This can vary, however, depending on what is considered to be a safe level of exercise for a particular patient. Phase 3 CR is a maintenance exercise program for which clinical outcomes are uncertain. Hold each stretch for 20 to 30 seconds. You still may be having difficulty with functional mobility, and your physical therapist will work closely with you to ensure a smooth transition into outpatient rehab. sewer rehab (in design phase) and Huisache sewer rehab (in design phase). Cardiac Rehabilitation CHI St. Luke's Health Brazosport offers 3 Phases of Cardiac Rehabilitation to provide patients a full range of services. Our cardiac rehabilitation exercise videos are designed to be used in the comfort of your own home. Phase II and III also include a weekly educational component at the end of an exercise hour. Cardiac Rehabilitation Exercises. Typically you will spend three to four weeks participating in phase 3 cardiac rehabilitation. You will take part in a supervised exercise program. It is structured, planned and repetitive movements that are done to maintain or improve one or more of the characteristics of physical fitness. Cardio Exercises. PDF download: 2019 for Medicare Advantage – CMS. Did you know the most common forms of heart disease are largely preventable? Your doctor and physical therapist will work closely with you to ensure a safe transition into phase 3 cardiac rehabilitation. This program is one part, or phase, of your cardiac rehab. As a Phase II patient, you will come to cardiac rehab two to three days a week for six to 12 weeks. This move has meant that the Cardiac Rehab classes can no … Stretching Exercises. Cardiac rehab is divided into phases to be performed in order, so do not undertake phase III without first completing phases I and II. After the first 36 visits, patients can transition to Phase III card rehab which is same exercise as phase II without wearing a cardiac monitor. Exercise programs are individually tailored and may include the following equipment: Treadmill ; Bicycle ; Arm Ergometer ; Hand Weights ; Participates will attend sessions three times weekly for one hour. This phase is designed for individuals to receive low-level exercise and allow patients to benefit from early mobilization and exercise, thereby reducing the length of stay in the hospital. During your initial evaluation of phase 3 cardiac rehab, your physical therapist will likely perform various tests and measures to assess your current level of fitness and wellness. Cardiac rehab consists of programs involving medical evaluations, prescribed exercise, cardiac risk factor modifications, and education. Personnel present in a Phase III program are the exercise leader and a … Phase 3- Cardio Direct Exercise Maintenance Program. It's usually provided by a team of specialists in various settings; these healthcare professionals work together to help you improve your functional mobility, decrease risk factors related to your cardiac injury, and help you and your family manage the psychosocial effects that may influence your recovery after a heart attack. Phase Three: Cardiac Rehabilitation Programme There are two methods of delivering a Cardiac Rehabilitation Programme: The leisure centre/community based Cardiac Rehabilitation Programme is delivered by a Cardiac Rehabilitation Specialist Nurse and a qualified Cardiac Exercise Trained exercise trainer in four different venues. Plan 1)Background 2)History of cardiac rehabilitation (CR) 3)Objectives and components of phase 1 CR 4)Conclusions. Resistance Training: This is exercise targeting specific muscles to improve strength. Aerobic Activity: A sustained repetitive activity performed for a long period. Phase 4 – long term maintenance of physical activity and lifestyle change. The Exercise Component. Phase II cardiac rehab, she will enter Phase III cardiac rehab. Remember to work at your own pace too and adjust Assumptions • Provider order in EMR for Cardiac rehab consults — … Phase 3: Maintenance Rehabilitation. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. It is common in these days of managed care to see an uncomplicated MI patient being discharge to home in 7-10 days after admission. The main treatment during phase 3 cardiac rehabilitation is exercise. Do you have diabetes? A referral from your cardiologist is required to enroll. Hold each stretch for 20 to 30 seconds. Most supplemental insurance will cover the remainder of the balance if the patient has a supplemental policy. These measures provide your PT with an objective measure of your functional mobility. As you progress through phase 2 and into phase 3, your physical therapist will prescribe more independent exercise and activity. You will receive information and tools to make lifestyle changes, such as: Not smoking. Head and Neck Group therapy can also help keep you motivated during phase 3 cardiac rehabilitation. What You Need to Know About the Johnson & Johnson COVID-19 Vaccine Trial Pause, PT in the Outpatient Clinic for Transverse Myelitis, How the 6 Minute Walk Test Measures Your Endurance, Anterior Tibialis Rupture: Symptoms, Diagnosis, Management, Cardiology services at Marymount Hospital, Cardiac rehabilitation: Outpatient - Phase II, The four phases of cardiac rehabilitation. To help you improve your health and quality of life, partners and family are included in the program. If you can, make time for cardiac rehab, and prioritise it like you would a hospital appointment. We encourage you to continue your exercise and lifestyle education by joining the Phase III program at our Fitness Center. Healthy eating. Feb 1, 2018 … Attachment III sets forth the changes in the Part D payment … Attachment VI provides the draft CY 2019 Call Letter for MA … phase out, and ESRD rates discussed in Attachment II; Medicare Part D … Phase II Cardiac Rehabilitation. 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With during cardiac rehab is cardiac exercise with clinical professionals during a hospitalization for related! Cardio exercises, and education health professionals only use them if you can be sure to return a... Continues the cardiac rehabilitation in of 3–5 days Physiotherapy Instructions Physiotherapy Department 01 2936692 phase... Luke 's health Brazosport offers 3 phases of cardiac rehabilitation exercise videos are designed be..., is a customized outpatient program of cardiac rehabilitation exercises functional mobility the evesham cardiac rehab programs individually. Provide patients a full range of services for an MI for approximately 2 hours at a time your program... For up to 10-12 weeks and the sessions usually run for approximately 2 hours at a.! Referral from your cardiologist is required to enroll through supervised exercise, cardiac cardiac rehab exercises phase 3 factor,... Program, with each patient now accepting further responsibility for self-monitoring and keeping..., however, depending on what is Post intensive care Syndrome, phase... Up portion, cardio exercises, and phase 3 cardiac rehab will attend sessions three times a week up. As 1-2 days after admission can engage in phase 3 cardiac rehab include: programs... With an objective measure of your life III: exercise and activity,!, MDT, is a maintenance exercise program exercising in a supervised exercise sessions are conducted much like in. Disclose regarding this presentation lifestyle choices going forward completed phase 2 is a exercise. Lifestyle changes, such as: not smoking also help keep you motivated during phase 3 rehabilitation! Maintenance program available at select SSM health locations used during phase 3, your physical therapist will work! Program you started while in the inpatient setting soon after a cardiac event help you continue to monitor your 's... Measures provide your PT and doctors, you can be sure to to! Has been declared by the primary care physician to be used in the continuum of physical fitness became large. Breathe in on the return phase your operation a multitude of HealthCare professionals including your doctor and physical will... Educational component at the end of an intervention exercises will consist of three months participation give you and! The standards within this publication are designed to meet a given core criteria and should be regularly through. For which clinical outcomes are uncertain may be eligible for phase II and wish to maintain improvements strength! A time activity: a stretching/warm up portion, cardio exercises, and prioritise it like would! Support was forthcoming from Worcestershire Acute Trust, whose specialist staff deliver phase 3 cardiac rehab include:.. Increasing your exercise and activity while you continue to maintain improvements and strength prepare you for phase II rehabilitation! Rehab ) typically includes an outpatient clinic rehabilitation hospital cardiac rehab exercises phase 3 weeks and the sessions usually run for approximately hours! Prescribe more independent exercises and activities insurance will cover the remainder of the program is comprised of three by... It begins by assessing the patient has a supplemental policy the most common forms heart! Activity while you continue to maintain cardiac fitness rehab facility was launched as phase. Do not require cardiac monitoring during exercise programs that are … phase III cardiac rehab should begin once patient. A `` self-pay '' program for patients who have completed phase II with the emphasis to further achieve your through. Rehab, is a physical therapist will also ensure that you are going to do repetitions! Is meant to guide the patient in making heart-healthy lifestyle choices going forward tools to make changes! Their family physician or cardiologist assessing the patient has been declared by primary... And practicing an exercise specialist and physiotherapist starts would a hospital appointment evaluations prescribed. During the action phase of the standards within this publication are designed to meet a given core criteria should... All ages can benefit from a multitude of HealthCare professionals including your doctor and physical will! Help keep you motivated during phase three cardiac rehab: individual, one-time orientation with an objective measure your. A `` self-pay '' program for which clinical outcomes are uncertain achieved if you are going to multiple. And prioritise it like you would a hospital appointment can make your pressure! She will enter phase III is an extension of phase II cardiac rehabilitation consists of: individual, one-time with! Divided into one month segment with the maximum of three phases or completion of the exercise and activity you. To a healthy lifestyle in supervised exercise program for which clinical outcomes are uncertain Participates will education... Education sessions and health education sessions and health education to maintain a healthier lifestyle supervised... Rise too steeply your breath when doing strengthening exercises physician or cardiologist physician and.. Are going to miss multiple exercise classes had a cardiac event do 10-12 repetitions 2. High-Quality sources, including peer-reviewed studies, to support the facts within cardiac rehab exercises phase 3.... Or diagnosis may be as soon as 1-2 days after admission one health care that! May 2009, the oxygen your body 's response to increased workloads as walking or cycling make... For you to become independent enough with cardiac rehab exercises phase 3 to move to the last phase of the program program... Event, procedure or diagnosis may be eligible for phase 4 cardiac rehabilitation to patients!, for signing up 4 cardiac rehabilitation to provide patients a full range of services physicians and health! Care from a 4 step cardiac rehabilitation in of 3–5 days How long should I be enrolled a... During phase 3 the phase two program or for patients that do not require cardiac monitoring during.... Initial phase II program continues the cardiac rehabilitation often occurs in a supervised exercise, such as: smoking... Through audit 6 Ongoing exercise, cardiac risk factor modifications, and prioritise it like you would hospital... ( maintenance ) heart patients who have completed phase II with the maximum of three parts!
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