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Cardiac Exercise Prescription, Referral & Rehabilitation - Case Study Example

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The paper contains the cardiac rehabilitation case study which consists of discomfort and feeling of tightness in the central portion of the chest for 1 week. The discomfort is mainly noticed while performing certain activities like climbing stairs, walking long distances and carrying water cans. …
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Cardiac Exercise Prescription, Referral & Rehabilitation
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Download file to see previous pages Past Medical History (Non-cardiac): He has hypertension for 10 years and is on antihypertensives and aspirin. He has high blood cholesterol levels which have reduced after initiation of cholesterol-lowering agents. Peter suffered from major illness at 20 years of age when more than half his lung was damaged due to pneumonia. He underwent 2 hernia operations, one for right inguinal hernia 10 years ago and repeat surgery for a hernia 6 years ago. His stay in the hospital during that period was uneventful. Peter does not have diabetes mellitus. There are no known allergies identified in him.
Cardiac History: The patient is a known case of myocardial ischemia, diagnosed 4 years ago when he was treated with placement of stents. 17 months ago he suffered from myocardial ischemia. Currently, he is admitted for angina due to ischemic heart disease.
Ischemic heart disease or IHD or coronary heart disease is a condition in which there is oxygen deprivation to the muscles of the heart as a result of decreased blood flow and perfusion and is accompanied by inadequate removal of the products of metabolism (Zevitz, 2006). This is the most common form of heart disease and a leading cause of premature death in developed countries (Zevitz, 2006). The hallmark feature of this condition is an imbalance between the supply and demand of oxygen of the myocardium which can occur either due to increased myocardial oxygen demand or decreased myocardial oxygen supply or both. Ischemia to the myocardium results from the disease in the coronary arteries. The disease is most often due to the formation of atheroma and its consequences like thrombosis. Of all the arteries in the body, coronary arteries are at increased risk of developing atheroma (Maseri et al, 1992).  ...Download file to see next pagesRead More
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