Date post: | 24-May-2015 |
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Health & Medicine |
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LIFESTYLE MANAGEMENT AFTER CARDIAC SURGERY
DR I S VIRDI
MBBS, MS, MCh, FRCS (Edin), FRCS (C/th), FRACSSenior Consultant & Chief of CTVS
Max Healthcare
• Undergraduate & General Surgical Post Graduate studies-G M C-Patiala(1980)
• M.Ch in Cardiothoracic Surgery –P GI M ER, Chandigarh, in 1983 • British Heart Foundation Fellow in Cardiothoracic Surgery• FRCS from Edinburgh University• FRCS in Cardiothoracic Surgery from the Inter Collegiate Board. • Due to turbulent times in 1986 went to Sydney, Australia• Fellowship of the Royal Australasian College of Surgeons -St. Vincent’s
Hospital Sydney. • Apollo Hospital, Delhi in 1995 2000 heart operations and about 200 major thoracic procedures – 6years • Returned back to Australia in 2002 Senior Consultant Cardiothoracic Surgeon and Adjunct Associate Professor at the James Cook University - 5 years • Returned back as Chief Cardiothoracic and Vascular Surgeon of Max Hospital
New Delhi
• Main interest pertain to adult heart and lung surgery• also has trained for neonatal heart surgery • transplantation of thoracic organs – both heart and lungs. • Coronary Artery Surgery• Valvular Heart Disease – reparative procedures for the mitral valve• Surgery on the aortic root, thoracic aortic dissections and
aneurysms• Thoracic malignancies• Major research interest myocardial preservation - James Cook
University developing a new Cardioplegic solution for arrested heart surgery and pharmacological stabilization for Beating heart surgery
• Published in several Peer reviewed Journals• Trained more than a dozen cardiothoracic surgeons who are now
running successful cardiac surgical programmes of their own.
• Cardiac surgery is one of the most significant events in an individual life.
• Aim - return to a good quality life as quickly as possible.
• Lifestyle changes – Alter old habits to
minimize recurrence of future cardiac events
LIFESTYLE CHANGES
• Exercise
• Diet
• Stress Management
• Weight Control
• Achieved through a planned rehabilitation programme
Rehabilitation programme
• Educate about Cardiac risk factors
• How to manage them– psycho social issues– stress and depression– returning to work, sports and leisure activities– improving fitness in the short and long term– healthy eating– FINALLY - remaining motivated.
CARDIAC RISK FACTORS
• Smoking• Physical inactivity• High blood cholesterol• Excess weight• High blood pressure• Diabetes• Stress• Male gender• Family history
HOME EXERCISE PROGRAM
• Range of movement exercises to reduce stiffness in joints
• Posture correction• Breathing exercises to
improve the lung function• Progressive walking
program– Over a period of six
weeks the patient gradually progresses to a 30min moderate paced or brisk walk.
• All these improve fitness in the long term
• Initially under the guidance of a cardiac physiotherapist
• In consultation with the surgeon - individualized for each patient
• Tennis, Swimming or Golf encouraged after 3 months of surgery.
DIET MANAGEMENT
• Directed towards– Weight control– Reduction of cholesterol
levels.
• Individualized as per the patient’s diagnosis.– Diabetes– Renal dysfunction– Any other additional
medical condition– Diet has to be modified
further.
HEALTHY DIET• A well balanced diet
– rich in nutrients– low in fat.
• Specific:– Low-sodium diet– Limited fluid intake– High Protein Diet
• Unspecific:– Fat and Cholesterol– Simple carbohydrates– Reduce weight if patient is obese– No smoking– No alcohol
HEALTHY DIET
• It will make you feel much better• Help you live a longer life
• Challenging to learn new ways of cooking and eating
• Learn a few different habits– Grocery shopping– Cooking
STRESS MANAGEMENT
• Recognize what causes stress and how the body reacts to it
• Tips to managing stress– deep breathing– positive and realistic thinking– taking time out– maintaining good social support– nurturing a hobby– learning to relax– cutting down on stimulants like coffee, tea etc– FINALLY practicing stress management regularly
CONCLUSION
• Help in feeling better– Emotionally– Physically– With less stress– more confidence.
• Take control of your health– Reducing the risk of further heart problems– Help in living longer