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Few people with heart failure may get a critical type of care (You likely aren’t too old or frail for rehab)
Medical Xpress / American Heart Association / Circulation: Heart Failure ^ | July 13, 2023 | Lisa Mulcahy / Neil Keshvani et al

Posted on 07/16/2023 6:24:33 PM PDT by ConservativeMind

Only 1 in 4 people in a nationwide registry received cardiac rehabilitation referrals after being hospitalized for heart failure with reduced ejection fraction, in which the heart doesn't contract effectively. Among them, about 1 in 25 actually participated in a rehab program.

The good news, researchers said, is that referrals increased over time—from 8% in 2010 to 32% by 2018.

Cardiac rehabilitation, a medically supervised program that includes exercise training and healthy lifestyle education, has been shown in previous research to improve quality of life and exercise levels and to lower the risk of heart failure hospitalization or death from any cause. So, not getting it could make a big difference in someone's overall outcomes, said Dr. Ambarish Pandey.

"Patients who are older are often considered too frail for cardiac rehabilitation," Pandey said. "This bias regarding these patients has allowed disparities to develop" despite evidence that patients with frailty issues may benefit more from cardiac rehab than those without.

Those who were referred for the program had a 16% lower risk of dying within a year compared to those without a referral.

Heart failure guidelines from the AHA and American College of Cardiology say cardiac rehab should be part of a patient's post-discharge care plan.

It's during hospitalization when cardiac rehabilitation care needs to be quickly arranged, said Steven Keteyian, Ph.D.

To overcome barriers to access, Pandey said options such as telehealth could help people lacking transportation or who live in rural areas where rehab programs are limited or require long-distance travel to get to a clinic.

The bottom line, both experts said, is that if someone with heart failure has not been told cardiac rehabilitation is available to them, they should be proactive and ask. "All patients should be offered (cardiac rehabilitation) on follow-up," Pandey said.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: cardiac; donatedonaldtrump; donatefreerepublic; donatetrump; heart; rehabilitation
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16% lower risk of dying in a year, if getting and attending, rehab.
1 posted on 07/16/2023 6:24:33 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20 - 25% fewer pings) or “Everything” list.

2 posted on 07/16/2023 6:24:59 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Without rehab, they cost less than rehab...then some other ailment...cancer ect.

It’s cheaper to let ‘em die at home, unable to breathe or get up.


3 posted on 07/16/2023 6:28:46 PM PDT by Mariner (War Criminal #18)
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To: Mariner

Without rehab, they cost less than rehab...then some other ailment...cancer ect.

It’s cheaper to let ‘em die at home, unable to breathe or get up.


Just get rid of those useless eaters.....the Commie way, right?

🙃


4 posted on 07/16/2023 6:30:49 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Jane Long
That would be the capitalist way being it's insurance companies making the call. But it has nothing to do, directly, with what type of economy is in place...and often what type of government is in place.

I suppose you could add a couple of rules to Obamacare and Medicare to ensure all folks with heart failure (90+% lifestyle caused) get rehab. But most will not be interested otherwise they wouldn't need it.

5 posted on 07/16/2023 6:36:19 PM PDT by Mariner (War Criminal #18)
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To: ConservativeMind

Does Medical Express not have a comments function? Is there anything on Medical Express that is so uninteresting that you won’t post it here?


6 posted on 07/16/2023 6:36:24 PM PDT by webheart
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To: ConservativeMind

“16% lower risk of dying in a year, if getting and attending, rehab.”

NO. 16% is for referral only. Says nothing about participation.

BTW, I hate statistical medicine, especially anything at levels below 95%.


7 posted on 07/16/2023 6:36:38 PM PDT by Paladin2
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To: Mariner

Sure, comrade.


8 posted on 07/16/2023 6:39:36 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Jane Long

Comrade?

You have a commie in your pocket?


9 posted on 07/16/2023 6:40:25 PM PDT by Mariner (War Criminal #18)
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To: webheart; Jim Robinson; Admin Moderator; Chris Robinson

Medical Xpress does not have a comment function.

This is the sixth time I am telling you to never post to me.


10 posted on 07/16/2023 6:48:54 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: Mariner

No....just one on the forum....suggesting we get rid of useless eater heart failure patients, rather than at least offer them cardio rehab.


11 posted on 07/16/2023 6:51:26 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Jane Long

Are you sure he just didn’t summarize the medical field’s position/reasoning sarcastically...? Because lots of people do that here.


12 posted on 07/16/2023 6:54:09 PM PDT by Secret Agent Man (Gone Galt; not averse to Going Bronson.)
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To: Jane Long

How dumb can a person be?

I didn’t not suggest we get rid of useless eaters/heart failure patients.

Friggin’ dumb, and acting the emotions of girlhood.

I parodied the thinking for insurance companies faced with the chronically ill.


13 posted on 07/16/2023 6:58:20 PM PDT by Mariner (War Criminal #18)
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To: Mariner

With your obtuse posting history....it is quite difficult to tell your “parody”.

Take that, and stuff it in your long handles, Gramps.


14 posted on 07/16/2023 7:03:47 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Secret Agent Man

With that one....very difficult to tell :)


15 posted on 07/16/2023 7:09:18 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: webheart; ConservativeMind

I appreciate Conservative Mind’s efforts in sharing these articles. I find some of them interesting and useful, and I sometimes share them with others. If any of the information positively impacts even one person’s health and well-being, it is worth the time. God bless.


16 posted on 07/16/2023 7:17:17 PM PDT by floralamiss
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To: floralamiss; webheart; ConservativeMind

Hear, hear, floralamiss.

And, webheart is FREE to ignore these threads.

Thank you, ConservativeMind, for your informative posts.


17 posted on 07/16/2023 7:24:35 PM PDT by Jane Long (What we were told was a conspiracy theory in ‘20 is now fact. Land of the sheep, home of the knaves)
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To: Jane Long

If unsure, maybe just ask before assuming the worst. Its hard when its just text only and no sound and facial expressions with it.

I mean I read it and saw it could go either way, but to me it sounded like it was leaning towards them ripping the medical establishment.


18 posted on 07/16/2023 7:28:11 PM PDT by Secret Agent Man (Gone Galt; not averse to Going Bronson.)
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To: ConservativeMind

I’ve heard of people having their ejection fraction return to normal after stem cell treatment. I believe the stem cells are extracted from the patient’s thigh.


19 posted on 07/16/2023 8:28:47 PM PDT by july4thfreedomfoundation (Disband and Defund the putrid FBI. America does not need an out of control Gestapo)
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To: july4thfreedomfoundation

Do tell; with some links....


20 posted on 07/16/2023 8:53:36 PM PDT by Paladin2
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