Home based rehabilitation is no worse than hospital- based programmes for helping patients get better after a heart attack or surgery to clear blocked heart arteries. It has been known for long that the risk of death is lower among heart patients who participate in exercise-based rehabilitation programmes, but most patients do not complete these programmes. Women, older people, and minorities are even less likely to enter these programmes and complete them, Health News reported.
To investigate whether offering patients the chance to do a rehabilitation programme at home might improve adherence, researchers from the UK randomly assigned 525 patients living in England’s West Midlands’s region to a home or traditional hospital-based rehab programme.
The hospital programmes, offered at four different centres were 8 to 12 weeks long, and began 4 to 8 weeks after a patient’s heart attack or revascularization surgery. The home programmes included visits from rehab nurses at 10 days, 6 weeks and 12 weeks after discharge from the hospital and a telephone contact 3 weeks after discharge, as well as additional visits if the nurse thought them necessary.
Both programmes were based on the Heart Manual developed that recommends patients to gradually increase their activity until they are doing at least 15 minutes of moderate intensity exercise daily. It was previously believed that HDL production occurred throughout the body. Some HDL production does occur in the walls of blood vessels.
“These results profoundly alter our concept of how HDL is manufactured in the body and establish the liver as the single most important source of HDL in a mouse model,” Parks said.
Obese children face heart attacks at 40
THE obese teenagers of today are heading for heart attacks in their forties, experts have warned.
Cardiac specialists said that while the number of people dying from heart disease was falling, it meant more were living with the often-devastating consequences of the condition.
SOURCE:www.nation.com.pk
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