Cardiac Rehabilitation

Put life back into your Heart…
So that you again have a …
If you’ve had a heart attack, other heart condition or heart surgery, cardiac rehabilitation may help you in getting back to lead as active and productive a life as much as possible. Through rehabilitation, you can regain strength, vitality and confidence, and you may feel better in many ways than you did before.

What is Cardiac Rehabilitation?
Cardiac rehabilitation is a multi-pronged program designed to help you return to better health, whether you’ve had a heart attack, heart surgery or certain other heart conditions. It’s a safe and effective way to overcome some of the physical complications of certain types of heart disease, limit your risk of developing more heart trouble, help you return to an active social or work schedule, and improve your psychological well-being. It can restore your strength and confidence and even help you live longer.

Who can benefit?
You may benefit if you’ve had a heart attack or have such conditions as coronary artery disease, angina, congestive heart failure and cardiomyopathy, or if you’ve had certain surgical or other procedures, including coronary artery bypass surgery, balloon angioplasty, stent implants and valve replacements.

Is thereir a suitable age for cardiac rehabilitation?
Age is no longer a barrier, either. People older than 65 are just as likely to benefit from cardiac rehab programs as are their younger counterparts are. In fact, because older adults with heart disease often are less able to exercise, and have a higher disability rate, they may benefit the most from a cardiac rehab program that’s designed to improve their overall health.

What are the features of a cardiac rehab program?
It generally has four components:
• Medical evaluation
• Supervised exercise
• Lifestyle education
• Psychosocial support
Cardiac rehab has both short-term and long-term goals. In the short term, these programs help you return to your normal daily activities and cope with the psychological and social aspects of having a heart condition. They also aim to reduce your risk of having another heart problem and to control symptoms, such as pain or fatigue, caused by the condition or that result from surgery.

Over the long term, you’ll learn how to identify and control risk factors that may have contributed to your heart disease and perhaps even develop new social support networks as you meet others who’ve gone through similar experiences. Heart-healthy behaviors will become

an ingrained part of your life, and your overall health may improve.
Cardiac rehab programs are tailored to each person’s own needs. What’s appropriate for someone who’s had a heart attack with minimal heart damage probably isn’t appropriate for someone who’s recently had a bypass operation or a lengthy hospital stay.

Cardiac rehab programs also typically have several phases:
In the hospital. Ideally, your rehabilitation starts soon after your heart attack or heart procedure, while you’re still in the hospital. You may notice your health care team rapidly expanding — often including cardiologists, nurse educators, dieticians, exercise rehabilitation specialists, occupational therapists, physical therapists, psychologists and psychiatrists. You’ll likely follow a step-by-step activity progression, beginning with non-strenuous activities, such as sitting up in bed, range-of-motion exercises and self-care, such as shaving. You’ll work your way up to walking around your room or the hallways and limited stair climbing. Without such efforts, you can quickly lose muscle strength.

Early recovery.
The next phase of your rehabilitation begins when you leave the hospital, and lasts about two to 12 weeks, depending on the program. You may continue your rehabilitation at a medical center if you live near one that offers a program, or with the advice of your doctor, nurse or other health care professional if there’s no formal program nearby.
During this period of early recovery, you gradually increase your general activity level, usually under close supervision. Your rehabilitation team might suggest exercises you can safely perform at home, such as walking and gentle calisthenics. You also learn about eating a healthy diet, smoking cessation, psychological adjustments, resuming sexual activity and finding social support.

Late recovery.
You probably will have developed your own exercise routine at home or at a local gym, beginning about six to 12 weeks after your hospitalization ends. You may remain under medical supervision during this time, however, especially if you exercise at a rehab center or have special health concerns. Education about nutrition, lifestyle, and weight loss may continue, as well as counseling. This rehabilitation phase typically lasts three to six months.

Life-time maintenance.
Once you’ve learned proper exercise techniques and have started making healthy changes in your diet and lifestyle, you’re ready for more independence. You likely will not need regular heart monitoring or medical or nursing supervision while exercising. Your goal now will be to make a lifelong commitment to the healthy changes you’ve adopted — perhaps with periodic visits to your rehab team as a booster.

A closer look
medical, strategy, heart, attack, diagnosed, physical activity
Here’s a closer look at the components that make up a typical cardiac rehabilitation program:

Medical evaluation
A thorough evaluation will help your health care team assess your physical abilities, medical limitations, other conditions you have and your psychosocial needs. Those findings will help them tailor a rehab program to your individual situation, making sure it’s safe and effective. Up to one-third of people who’ve had a heart attack have significant symptoms of depression, for instance. A medical evaluation can help make sure the condition is properly diagnosed and treated as part of the rehab program. And if you’ve had a stroke or have other conditions that can impair your ability to exercise, your health care team can map out a strategy of modified exercises to accommodate any limitations.

Physical activity
Decades ago, the only recommendation for people with serious heart problems was bed rest — and many weeks of it. Over the years, doctors began recommending a few minutes of exercise, then a few more. And research now shows that exercise is good for your heart, even when it’s already sustained damage. Exercise offers a number of important benefits. It increases blood flow to your heart and strengthens your heart’s contractions so that it pumps more blood with less effort. It can also help you achieve and maintain a healthy weight and control diabetes, high blood pressure and high blood cholesterol. It also helps reduce stress, increases your energy level and reduces pain.

Exercise sessions usually include a mix of stretching, warm-up and cool-down periods, and walking on a track or treadmill or riding an exercise bike.

As you begin a new cardiac rehabilitation program, the exercise component will begin slowly, with medical supervision and monitoring of your heart rate and blood pressure. As you gain strength, your program will gradually become more intense, and you’ll work harder and longer. It’s important to keep on exercising to sustain improvements. The beneficial effects of exercise don’t last if you stop exercising.

“The long-term goal for many people is to exercise moderately about 30 to 40 minutes at least several days of the week, while for others it may be 60 minutes nearly every day,” Malibago says. “It’s also important to use resistance training to strengthen muscles, especially for older adults. Resistance training can be done with hand weights, weight machines or wide rubber bands designed especially for exercising.”

In rare cases, the risks posed by exercise outweigh the benefits. Your health care team can help determine how much exercise is safe for you. Lifestyle education. Just like anyone else, the way you live your life can affect your health. But when you have a heart condition, you’re at risk of even more trouble. By eating a balanced diet and cutting out unhealthy habits, you can improve your overall health and reduce your risk of another heart attack or other cardiovascular complication, such as stroke.
Your rehabilitation program may offer consultation with a registered dietician to help you create a healthy eating plan. You’ll learn about dietary fats and cholesterol and how they may have contributed to your heart condition. If you’re overweight, you’ll learn new diet and exercise habits to help you shed pounds.

Cardiac rehabilitation can also help you break other unhealthy lifestyle habits, such as smoking. If you smoke, it’s vital that you quit. Continuing to smoke greatly increases your risk of another heart attack and even death.
Psychosocial support. Adjusting to a major illness or health problem often takes time. You may develop depression or anxiety, lose touch with your social support system or have to stop working for weeks. You may notice stress and anxiety persisting well after your condition has stabilized as you try to cope with these changes in your life. Your family may be affected, too.

LiveLifeMore’s Healthy Living Program

LiveLifeMore offers a personal, practical, and enjoyable approach to nutrition & fitness for all levels of experience. This is an integrated program will teach you how to implement all five components of health and fitness: strength training, weight management, cardiovascular exercise, nutrition, and flexibility training–in combinations that are right for you
By implementing all five, you will train your body to become an efficient “fat-burner” instead of a “fat-storer.” Any program can help you lose weight in the short run, even the worst quack diet. But by following each of LiveLifeMore’s five programs, you’ll become stronger and more flexible, you’ll have increased endurance and cardiovascular performance, and you’ll look, feel, and perform at your very best. At the same time, you’ll reduce your risk of disease and injury and enjoy other improvements of good health, not just for six months, but for life.

Sounds overwhelming? It’s not with LiveLifeMore, when you join us, our fitness, nutrition, and health-care experts will immediately begin answering all your health and fitness questions. We’ll even personally teach you how to integrate all five components into a comprehensive program, customized to your fitness level, goals, and time and equipment availability.

LiveLifeMore’s Healthy Heart Program

Having seen what a powerful difference changes in diet and lifestyle can make, we want our program to be available to those who most need it the most ( i.e. the heart patients or those who don’t wish to undergo Heart Surgery or Ballooning but have been advised these procedures in the past, or those who have undergone these procedures but want to prevent further blockage) .
Through healthy lifestyle changes—proper nutrition, moderate aerobic exercise & yoga, stress management and Professional support from our Panel of experts including Heart specialists, Lifestyle Consultant & Nutritionist—the LiveLifeMore’s Healthy Heart Program improves the health and well-being of Program participants so they can live better.

Program provides new hope for heart patients
Most heart disease is the result of unhealthy lifestyle habits. LiveLifeMore’s Healthy Heart Program for Reversing Heart Disease redirects those habits to give participants a healthy lifestyle that helps them live better & longer. It also helps those who’ve undergone heart procedures like Angioplasty (PTCA or Ballooning), Stenting or Bypass heart Surgery to get more benefit out of them and prevent further damage.

LiveLifeMore’s Healthy Heart Program for Controlling & Reversing Heart Disease is offered through LiveLifeMore.com health care facilities on the web & at the Health Plus Lifestyle Clinic at Mediwell Heart Institute, Chandigarh, India. These LiveLifeMore Life-style Modification Programs are administered, in consultation with physicians, cardiologists, nutritionists and other health care professionals.

To join a local LiveLifeMore Program and start taking advantage of a healthy lifestyle that helps you live better, contact the LiveLifeMore on this website or call LiveLifeMore Helpline 91-09815502203
Whether you want to manage heart disease or learn how to reduce stress and eat more healthfully, the LiveLifeMore Programs will give you the tools to take control of your health and manage life on your own terms.

LiveLifeMore’s talks and seminars provide you with the latest scientific information on a variety of health topics to help you make informed, intelligent choices. In an age of endless, often-conflicting health information, the goal is to separate fact from fiction—to identify what works, and what doesn’t.
Just as important, however, is the opportunity to directly experience the LiveLifeMore Lifestyle Modification Programs by actively participating in daily yoga classes, exercise activities and group support sessions while enjoying gourmet, low-fat cuisine.

Expectations
Adopting LiveLifeMore Programs on lifestyle changes allows you to see and feel positive results right away. During and after the Program, most people notice:
• Marked reductions in cholesterol, blood pressure and weight.
• Decreased chest pain (angina)
• An improved sense of robust health and a feeling of well-being
• Feeling calmer, more energetic and more relaxed

Professional Team

The team at the LiveLifeMore , includes physicians, cardiologist, exercise physiologists, dietitian, certified stress management specialist and trained group support facilitators. They are dedicated to providing you with the personalized attention necessary to help you meet your goals. Many of these expert health care professionals have worked with reputed hospitals in India & abroad and have rare expertise in lifestyle modification.
To request more information, contact us by calling +91-9815502203

Lifestyle Modification

What is Lifestyle modification & why is it, the need of the hour ?
Lifestyle is the way you live your life; what you eat, how and when you eat, how much you exercise, how you cope with stressful situations. Lifestyle Modification is a pro-active approach towards optimum health & wellness by bringing about appropriate changes in the way you live to Live Life More.

It is the need of the hour because the biggest killer in the world today accounting for almost 80% deaths worldwide is not war, disease, natural calamities or accidents. The biggest killer is, Lifestyle. Wrong diet; lack of physical activity and exercise; Obesity; mental stress and tensions of fast paced competitive life; pollution; alcohol and smoking are the major culprits; which manifest themselves innocently as high blood pressure, diabetes or high blood cholesterol and then without warning, strike fatally as heart attacks, stroke or cancer. They can potentially cut short the lives (mortality) or disable the patients (Morbidity) in the most productive years of their lives. Hence, one has to realize that one’s lifestyle plays a crucial role in “remaining healthy”.

So, a scientifically planned and logically guided healthy lifestyle is the cornerstone to preventing disease and attaining Optimum Health and Well-being.

Is Lifestyle Modification difficult?
Contrary to popular belief, leading a healthy lifestyle doesn’t have to be difficult; it doesn’t have to be painful or time-consuming. Making gradual, simple changes in your diet and physical activity will make great improvements in your health and well-being, and they can drastically reduce your risk of disease or complications of disease if it already exist.

Can Lifestyle Modification help in conditions like Heart Disease, Hypertension, Diabetes, obesity etc?
For people already diagnosed or with a family history of degenerative diseases like heart disease, diabetes, cancer etc, an active lifestyle can slow or stop the process for all but those with serious genetic disorders. Studies have shown that a comprehensive lifestyle intervention program that includes regular scientifically planned physical activity, a tailored healthy diet and a stress reduction program can “Add years to life, add life to years” i.e. it can prolong the life-span, improve your quality of life by controlling and even reversing the reversible disease process.

Evidence also shows that an active lifestyle and its capability in reducing body fat, is associated with a reduced risk for some types of cancers: prostate for men, breast and uterine cancers for women.
In addition, regular physical activity and a healthy diet are successful in treating non-insulin dependent diabetes (NIDDM); for some patients, it has reduced or eliminated the need for insulin substitutes. In general, regularly active adults have 42 percent lower risk of developing NIDDM.

How can LiveLifeMore help in Lifestyle Modification?
LivelLfeMore can teach you how to break out of the diet mentality and change your lifestyle in simple, yet very effective ways so you can not only add years to your life, but life to your years. Our program is not another 90-day prison sentence sure to fail; it is the beginning of an improved, more beneficial way to live.

The approach of our Lifestyle Management Programs for Healthy Living and for conditions like Hypertension, diabetes, heart disease etc. have no strict rules to follow; the approach doesn’t deprive you of the foods you love. LivelifeMore can teach you how to make smart choices when shopping, cooking, and eating out; it teaches you how to make healthy decisions about exercise. It can help you learn how to think in ways that will make an amazing difference in how you look, act, and feel. As these new habits become permanent, you will have mastered the healthy lifestyle everyone deserves to enjoy. With Livelifemore.com, you can adopt gradual, realistic changes into your life that will make healthy eating and activity a permanent pleasure.

By the end of your program with us, you will have recommendations designed just for you to start you on your journey to optimal health. These recommendations will include changes to be made in nutrition, exercise, supplements like anti-oxidants, stress management and more. But how do you make those modifications?

Developing healthy habits is not easy. Like learning a new skill, it will take motivation, time, patience, and most of all – practice! And, when learning a new skill, most of us do better if we have a coach or guide. Our team comprising Integrative Health Consultant Dr. Dr. Sandeep Jassal and Nutritionist Pallavi Jassal along with the inputs from the top super-specialists from nearly all the specialities and streams of health-care, will serve as your coaches in a weekly program designed to help you achieve your goals.

In our Lifestyle Modification Program, the client will meet one of our experts turn by turn every week at a mutually convenient time (Online or in person by appointment). Dr. Dr. Sandeep Jassal and Pallavi Jassal will help you problem-solve any difficulties you may be experiencing with any aspect of the program. Also, each week there will be different educational topics, including:

Exercise & Fitness (Staying Active)

Next on your list: begin a more active lifestyle. While this is a big step, it doesn’t have to be a hard one. No matter your age or physical ability, starting an exercise program is a no-brainer. You’ll get healthier, live longer and improve the quality of your life.
Science can keep us alive well into our 80s and 90s, but the quality of those years in future is dependent upon how well we take care of ourselves…now in our present times.

So, the sooner we start exercising, the sooner we start burning calories, building bone and muscle and feeling more comfortable in our bodies. But what exactly does this mean? How much exercise and what kinds are the most beneficial and the most tolerable?

What we all should know is that exercise is not merely a repetitive motion of body parts. It’s much more complex than that.
Well, it’s not hard at all. If you have a few hours a week to dedicate to your body, you can have all the benefits of an active lifestyle. We will break down the four elements of an exercise plan and show you how much exercise you need to get in shape. And you can accomplish this in under four hours a week.

The four components of a longer, better and active life:
1. Aerobic Training: This improves lung and heart efficiency, utilizes calories, builds bone and muscle to a limited degree, increases levels of “good” natural chemicals (e.g. endorphins), elevates good blood lipids (HDL) and decreases the bad ones (LDL and cholesterol).
2. Strength Training: Increases lean muscle and therefore improves body composition, increases bone density, increases resting metabolic rate, firms and gives contour to the body, and of course, makes you a stronger person (inside and out!)
3. Flexibility Training: Increases the length and elasticity of muscle-tendon units, decreases the soreness associated with other forms of training and prevents injury in both training and daily life.
4. Relaxation Training: Decreases anxiety, decreases blood pressure, increases concentration, improves posture and provides a ton of other great benefits!