Secondary prevention to maintain and improve your health
If you are a cardiac or pulmonary patient, Regions Hospital Cardiopulmonary Rehabilitation is an important part of your care. You’ll receive education and exercise to maintain and maybe even improve your health.
Cardiopulmonary Rehabilitation is two separate services: pulmonary rehabilitation (for people with chronic breathing problems) and cardiac rehabilitation (for people who have had a heart attack, heart surgery or certain heart procedures).
There are two phases of cardiac rehabilitation available. Phase I is for inpatients following a cardiac event. Phase II is for outpatients. (Currently, pulmonary rehabilitation is offered only as an outpatient service.) These programs give you individual assessments and evaluations.
Phase 1: inpatient cardiac rehabilitation
If you’ve had a heart attack, heart surgery or a cardiac-related diagnosis, your doctor may recommend this service while you are in the hospital. You’ll exercise, according to your ability, twice a day until you are ready to leave the hospital. Before you are discharged, you’ll receive a personal home exercise program. You and your family will have a chance to go over it and make sure you understand everything.
- Establish safe transfer techniques
- Reinforce confidence in mobility
- Instruction on limitations at home
- Increase ambulatory ability
- Monitor vital signs with aerobic exercise
- Review signs and symptoms of heart disease
- Reinforce when to call physician vs. emergency assistance
- Reinforce nursing instruction of the nitroglycerin protocol, if indicated
- Review risk factors for heart disease
- Provide home exercise program
- Assist with discharge planning
When you exercise in the hospital, you’ll be supervised by a registered nurse, exercise physiologist or occupational therapist. You’ll be walking and exercising in your room, in the hallways or using exercise equipment in a clinic.
Location & hours
- Regions Hospital
- Inpatient Cardiac Rehabilitation Clinic, 7th floor, room 7021
- Hours: Monday through Saturday: 7:30 a.m. until 4:00 p.m.; Sunday: 7:30 a.m. until 12:00 p.m.
- Phone: 651-254-9243
- Phone: 651-254-9243
Phase II: outpatient cardiac rehabilitation referral
Once you leave the hospital, you may be referred to Regions Hospital Cardiopulmonary Rehabilitation or a program in your community. If you have questions about insurance coverage for these programs, you should contact your insurance company.
You’ll be referred to this service if your doctors feel you need to be watched for safety reasons when you exercise. Your referral may come from a cardiologist, a primary care physician or another specialty physician.
A typical session
During a typical session, you’ll be placed on telemetry (a heart rhythm monitoring device) and your blood pressure will be measured before, during and after exercise. (If you have diabetes, blood sugars are also measured before and after exercise.) If you have any difficulties during exercise, your primary physician and/or cardiologists will be notified. Your physicians will also be able to track your progress by looking at your patient records on a secure web site.
- Promote healthy lifestyle changes
- Increase understanding of heart disease
- Provide education on cardiac risk factors
- Increase exercise capacity
- Promote exercise independence
- Provide heart healthy nutritional information
- Encourage smoking cessation, if indicated
- Provide encouragement and support
Common phase II diagnoses
To make sure you have coverage for Phase II Cardiac Rehabilitation, contact your insurance company. Common diagnoses for cardiac rehabilitation are:
- Stable angina
- Coronary artery disease
- Coronary artery bypass surgery
- Angioplasty (with or without stent)
- Myocardial infarction
- Cardiac transplant
- Cardiac valve repair/replacement
- Cardiac arrest
- Heart failure
Your orientation appointment includes a thorough evaluation and personal treatment plan made by a registered nurse or an exercise physiologist. Plan on attending up to 14 education classes on these topics:
- Nutrition: fats and oils, DASH diet, MyPyramid, eating out, nutrition resources, healthy recipe samples, cholesterol labs, sterols and stannols
- Blood Pressure
- Exercise and Equipment
- Stress Management
- Relaxation Techniques
- Living Well With Heart Disease (psychosocial issues)
- Cardiac Medications 1 and 2
- Lifelines of the Heart: the coronary arteries
- The Life Pump (anatomy/physiology of the heart)
You’ll receive an individual nutrition consultation and follow-up with a registered dietitian. Before you meet with the dietitian, you’ll be asked to complete a three-day food diary. This will help the dietitian recommend any medical nutrition therapy or diet changes that may help you. Family members and friends are welcome to come with you. Our registered dietitians are also certified diabetes educators.
Your exercise will be supervised by a registered nurse, exercise physiologist, respiratory therapist or occupational therapist. Your exercise program is designed just for you so you can go at your own pace.
Exercise & education schedule
Cardiac rehabilitation classes last 90 minutes and consist of one hour of exercise (including 30 minutes of aerobic exercise) and a half-hour education class.
Exercise classes are available two times per week on Tuesday and Thursday mornings, or three times per week on Monday, Wednesday and Friday mornings or afternoons. Education classes are available before or after all exercise classes on Monday through Thursday.
You’ll have access to this equipment:
- Exercise bikes
- Recumbent steppers
- Elliptical machines
- Arm ergometer
- Free weights
Location & hours
- Regions Hospital
- Outpatient Cardiopulmonary Rehab Clinic
- 2575 University Avenue West, Suite 140, St. Paul, MN 55114
- Hours: Monday through Friday 7:30-4:00
- For class times and additional information, please call 651-254-9999.
- For class times and additional information, please call 651-254-9999