{"id":8383,"date":"2012-04-27T22:17:01","date_gmt":"2012-04-27T22:17:01","guid":{"rendered":"http:\/\/www.homeobook.com\/?p=8383"},"modified":"2022-01-06T01:11:08","modified_gmt":"2022-01-06T01:11:08","slug":"cardiac-rehabilitation-building-a-better-life-in-heart-patients","status":"publish","type":"post","link":"https:\/\/www.homeobook.com\/cardiac-rehabilitation-building-a-better-life-in-heart-patients\/","title":{"rendered":"Cardiac Rehabilitation Building a Better Life in Heart Patients"},"content":{"rendered":"
Cardiac rehabilitation is a medically supervised individualized program designed to improve the quality of life in terms of physical, mental, spiritual and social functioning after a cardiac event. The final goal is to stabilize, slow and when possible to reverse the progression of cardiovascular disease, reducing the possibilities of another cardiac event or\u00a0early death. Rehabilitation should start as soon as the patient is medically stable. This concept is already established in developed countries but is yet to gain momentum in developing countries including India.<\/p>\n Today, Homoeopathy has achieved its due place in the medical fraternity. It is also seriously attempting to develop itself on scientific lines so as to shoulder its responsibility of catering the Sick in this era of fast changing disease scenario. Apart from its domain of holistic care, it has proved effective in managing cases where advanced pathological changes have effectuated. Although, technological advances have enabled us to precisely localize pathologies, yet the cure for many such disorders remains a dream. It is here that scientific homoeopathy is playing a vital role. Today, an inter-disciplinary approach is the need of the hour. It requires an understanding of the separate contributions made by other disciplines within the ambits of their fundamentals and the integration of that information into a unified whole. This shall reflect on our services to our patients.<\/p>\n The National Academy of Homoeopathy, India is committed to the propagation and advancement of Scientific Homoeopathy. It has already taken a leap towards this goal of Cardiac rehabilitation by establishing a separate department of homoeopathic cardiology in 2004 at Nagpur. Our cardiac rehab program entitled \u201cDil Ki Seva (A)Dil Se<\/strong>\u201d includes:<\/p>\n In our experience, the long-term success of any such program is directly related to patient compliance. Evidence suggests that such a holistic approach is the only sure way that benefits patients. And those who quit smoking and tobacco significantly reduce their risks of another heart attack, sudden death, stroke and total mortality compared with those who continue to smoke.<\/p>\n We have found that when supervised by a homoeopathic physician, cardiac rehabilitation is helpful to patients with<\/p>\n I quote a recent case who had reported at our centre \u2013 its an example of how homoeopaths can offer rehabilitation to a cardiac patient.<\/p>\n A 56 years\/M, Builder by occupation arrived at our Hospital on 10\/1\/08 with the complaints of headache and confusion since 1 hour. The wife reported that the patient had come for lunch, slumped over the table, called out but could not say what was wrong. She noticed that his face was twisted and speech was strange.<\/p>\n About 5 months ago patient had first noticed easy tiredness & shortness of breath at his building site and subsequently during routine works. About 3 weeks ago he had sudden palpitations on climbing stairs that recurred at irregular intervals and at rest as well.<\/p>\n On admission<\/strong> – patient was conscious but had a right sided convulsion with urinary incontinence shortly after arrival. He complained of frontal headache and a confused feeling. He was well oriented but had difficulty in finding the right word to reply. H\/o Dry Cough < early morning and numb feeling in right hand. No H\/o of chest or abdominal pain, ankle swelling, vomiting, dysphagia or haemoptysis.<\/p>\n Ambithermal; Appetite\/ Thirst \u2013 good, No specific desires or aversions, Stool – 1\/day, well formed, soft, h\/o Mucus +. Incontinence since the attack. Urine – 5-7 times \/day, satisfactory, involuntary dribbling since admission. Sweat \u2013normal. Sleep – 5-6 hours, alert, could not lie on the left side. Dreams – Business and wife\u2019s ill health.<\/p>\n Mentals<\/strong> – Basically apprehensive – business and family, Dominant and Obstinate. A Responsible person but lately loss of self confidence due to financial losses. Memory weak for names.<\/p>\n Past\/ H<\/strong>– Rheumatic Fever -1968, Jaundice \u2013 1979, Gastric Ulcer on Endoscopy – 2000. No S\/S since last 8 years. Recurrent Bronchitis – 2002.<\/p>\n F\/ H<\/strong> – Wife- Rheumatoid A; 2 sons Normal. Mother – HT. Father died \u2013 CVE, Sister died aged – heart attack.<\/p>\n Personal\/H<\/strong> \u2013 Had started as an apprentice at a mechanic and rose to become a well known Builder of Nagpur. Lives with wife and 2 sons. Smokes 30 cigarettes \/ day. No alcohol or drugs. Hobbies – gardening. Worries about his ability to work and about his wife\u2019s disability.<\/p>\n O\/E<\/strong> – \u00a0 Well nourished man; thin built, apprehensive. Pulse irregular 140\/min, good vol. \u00a0\u00a0\u00a0 BP -130 \/ 86 mm Hg. Skin, hair, nails \u2013 N.<\/p>\n PROBLEMS\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 INVEST\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TREATMENT<\/p>\n 1. MS with MR\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECG, Xray Ch, CBC,<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Electrolytes, ECHO, Card Cath<\/p>\n 2. Cardiac Arrythmias\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECG Monitoring<\/p>\n 3. R Hemiparesis, Dysphasia\u00a0 Fasting Serum Lipids, EEG\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Physiotherapy<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gelsemium<\/p>\n 4. Smoking\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Psychotherapy<\/p>\n 5. H\/o Bronchitis\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lung Function tests<\/p>\n 6. Disabled Wife\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nursing<\/p>\n 7. Constitutional Homoeopathic Remedy \u2013 selected after repertorization<\/p>\n Developments<\/strong><\/p>\n 11\/1\/08\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 No convulsions. No S\/o CCF. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Gels 0\/1 3 hrly<\/p>\n 10.15 am\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECG- Bifid P waves, other wise NSR\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sac Lac<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CBC \/ Electrolytes – N<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Still craving for cigarettes<\/p>\n 12\/1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 C\/o Palpitation & Dyspnoea. Basal Crackles + \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Gels 0\/2\u00a0 2h<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Atrial fibrillation confirmed on ECG. HR 130\/min<\/p>\n 15\/1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0 No palpitation. Speech better. LFT – Restrictive pattern\u00a0\u00a0\u00a0 Gels 0\/2 TDS<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ECHO – MS, MR, fixed calcified valve<\/p>\n \u00a017\/1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0 AF controlled. HR 84\/min, lungs clear\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Omit Gels.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Neurological signs unchanged. No craving for smoking\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SL x 7 days<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S.Lipids N; HbsAg Neg;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 discharged<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Advised Cardiac Catheterization<\/p>\n Advised domestic nursing by relatives and report SOS. Patient was subsequently administered Lycopodium 200 1 dose on 25\/1\/08, and 1M on 6\/7\/08. He is under follow-up, back to work, has quit smoking and free of palpitations. His Speech is normal and when last seen is asymptomatic. A good example of Cardiac Rehabilitation.<\/p>\n Discussion 2. Miasmatically – the pathology i.e Rheumatic heart disease – mitral stenosis and regurgitation due to fixed calcified valve represents the end result of Psoro-sycotic (tubercular) phenomenon. It is irreversible with dynamic medications. But episodes of sudden paroxysmal atrial fibrillation are Psoric manifestations, hence a better prognosis.<\/p>\n 3. Gelsimium (Weakness, Paralytic, Generalities; 1418:Kent) was administered for paralysis, aphonia, difficult swallowing, bladder paralysis, nervous affections of smokers.<\/p>\n 4. Lycopodium – Most suitable homoeopathic remedy was selected on the following – Right sided remedy, deep seated progressive chronic disease, adapted to intellectually keen but of weak muscular power, loss of self confidence, apprehensive, dominant nature, workaholic \u2013 has toiled hard and risen from his own ashes, memory weak especially for names, confused thoughts, inability to find the right word, sees only one half of an object (homonymous hemianopia), thin built.\u00a0<\/strong><\/p>\n Infine –<\/strong> Combining all aspects of cardiovascular rehabilitation in appropriate patients improves functional capacity, quality of life, reduces or eliminates maintaining factors and curtails the miasmatic evolution of the sickness. This in turn creates not only a sense of well-being but also optimism about the future. So dear homoeopaths, let us start rehabilitating our cardiac patients!<\/p>\n Dr \u00a0Aadil Chimthanawala Dr \u00a0Aadil Chimthanawala Cardiac rehabilitation is a medically supervised individualized program designed to improve the quality of life in terms of physical, mental, spiritual and social functioning after a cardiac event. The final goal is […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":20599,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[1951],"class_list":{"0":"post-8383","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-practice-of-medicine","8":"tag-cardiac-rehabilitation"},"yoast_head":"\n<\/a>Dr \u00a0Aadil Chimthanawala<\/strong><\/p>\n
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\n<\/strong>1. Physical signs in heart indicate Mitral Stenosis and Regurgitation, probably Rheumatic in origin. Paroxysmal Atrial Fibrillation could account for palpations and irregular pulse. The neurological features point to a lesion in the left cerebral hemisphere probably vascular in origin. In view of the sudden onset, embolism from the Lt atrium is the most likely cause but in this heavy smoker with a F\/H of vascular disease; atheroma is an alternative possibility. The effort dyspnoea and bronchitis could result from heavy smoking, from pulmonary congestion due to Mitral disease or combination of the two.<\/p>\n
\n<\/strong>MD (Hom), BHMS, DNB (Med), MBBS, FNAHI, PGNAHI
\nHead: Dept of Homoeopathic Cardiology
\nDirector: Shaad Homoeopathic Hospital Complex & Research Centre
\nNear Itwari Railway Station, Nagpur -2
\nEmail : adilchimthanawala123@gmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"