Rehabilitation Programs
• Phase I Cardiac Rehabilitation
Monitored activity to get you up and moving immediately after a cardiac event, while you are still a hospital patient.
• Phase II Cardiac Rehabilitation
A comprehensive outpatient program for patients with heart disease. This program offers a variety of services to meet each individual’s need for increases in exercise capacity, educational counseling for risk factor modification and behavior change. Heart rate, blood pressure and telemetry monitoring are included in each session. Currently accepted diagnoses for Phase II Cardiac Rehabilitation are:
*Myocardial Infarction (MI)
*Coronary Artery Bypass Surgery
*Chronic Stable Angina
*Angioplasty (PTCA) or Coronary Stenting
*Heart or Heart and Lung Transplant
*Heart Valve Repair or Replacement
• Exercise Prescriptions
Individual consultation sessions with an exercise physiologist for exercise prescriptions and education are available by appointment. Exercise prescriptions can be designed for home exercise or for use in the HEART Center.
• Enhanced External Counterpulsation (EECP)
Non-invasive outpatient treatment designed to relieve or eliminate angina. Consists of 35 one-hour sessions over a period of seven weeks. Treatment involves a retrograde pressure wave which augments diastolic pressure, increases coronary perfusion pressure, venous return to the right heart, and angiogenesis.
• Fresh Start
A program of supervised exercise and risk factor education for patients who need a moderately structured program where heart rate, blood pressure, blood glucose, oxygen saturation, weight, and symptoms are monitored. Designed for patients with a diagnosis of diabetes, congestive heart failure, peripheral vascular disease, fibromyalgia, hypertension, hyperlipidemia, stroke, obesity, and pulmonary diseases.

Diagnostic Programs
Holter Monitor Evaluations
Both 24-hour and 48-hour Holter monitoring of EKG rhythms is available 5 days a week by appointment.
30-Day Event Monitoring
30-day Event monitors can be worn to track patient symptoms to evaluate if these symptoms are related to the EKG. Available 5 days a week by appointment.
Graded Exercise Tests
• Graded Exercise Tests
Physician directed graded exercise tests are available five days per week at the HEART Center. Graded exercise tests directed by an exercise physiologist are available for low risk patients. Tests can be performed using a treadmill or an exercise bicycle. These tests use gradually increasing workloads to stress the heart while the patient’s EKG, blood pressure, oxygen saturation and response to increasing workloads are monitored.
• Resting Echocardiography
Resting echocardiograms are available five days per week. This test uses high-frequency sound waves from a wand (transducer) placed on your chest to produce images outlining the heart’s valves and chambers and their movement. Doppler ultrasound and color Doppler monitor how blood flows through the heart’s valves. This test assesses the heart’s function and gives information about valve problems, disease of the heart muscle, pericardium (the sack that surrounds the heart), valves, congenital heart problems, and heart tumors.
• Bike Stress Echocardiography
Physician directed supine bicycle stress echocardiograms are available at the HEART Center five days per week. The test combines the cardiac monitoring of the Graded Exercise Test with the cardiac imaging of the Echocardiogram. Cardiac ultrasound images are taken at rest, during exercise, at peak exercise, immediately post exercise, and during recovery.
• Treadmill Stress Echocardiography
Physician directed treadmill stress echocardiograms are also available. Cardiac ultrasound images are taken at rest, immediately post exercise, and during recovery.
• Dobutamine Stress Echocardiography
For patients unable to do physical exercise for any reason (such as orthopedic limitations like hip or knee problems). Dobutamine is used to elevate heart rates while echocardiography is used to evaluate cardiac function.
All of the above programs and tests require a written order with the appropriate diagnosis signed by the patient’s practitioner prior to being performed.

CONTACT US:
For questions or comments contact the Cardiopulmonary Diagnostics and Rehabilitation department
Phone: 608-637-4497