-
 
 
   
 
 
 
 
HOME 
ICRI director 
ICRI objectives 
Organizational chart 
Research management 
Executive management 
ICRI journal (ARYA) 
IHF 
IHHP 
ICS 
MUI 
Useful links 
Contact Us 
Cardiac Rehabilitation Research Center
 

Cardiac Rehabilitation Research Center

Director 
Masoume Sadeghi, MD
Professor of Cardiology
Deputy of Research
Editor in Chief, ARYA Atherosclerosis Journal
Isfahan Cardiovascular Research Institute
A WHO Collaborating Center in EMR

Executive manager:
Hamidreza Roohafza, MD
Associated Professor of Psychiatry

Deputy of research:
Mojgan gharipour, MSc, Ph.D

Institutions groups:
Masoume Sadeghi, MD
Professor of Cardiology

Hamidreza  Roohafza, MD
Associated Professor of Psychiatry

Seyyed Mohammad Hashemi, MD
Professor of Cardiology

Sedighe Asgari, PhD
Professor of Pharmacognosy

Vahid Shaiganezad, MD
Professor of Neurology
 
Faculty members
Full-time faculty:

Masoume Sadeghi, MD
Professor of Cardiology

Seyyed Mohammad Hashemi, MD
Professor of Cardiology

Ali Nasr, MD
Associated Professor of Cardiology

Part-time faculty:
Azam Soleimani, MD
Assistant Professor of Cardiology

Ramin Heidari, MD
Assistant Professor of Cardiology

Javad Shahabi, MD
Assistant Professor of Cardiology

Awat Feizi, PhD
Professor in Biostatistics

Date of establishment:
     1 Jun 1996

Staff (Faculty/Research & Technical assistants/):
Hossein Heidari, MD
Samaneh Mostafavi, MD
leyla vakili, MD
Zohreh Halvaiepour, M.Sc

Administrative staff:
Safoura Yazdekhasti, B.Sc
Mitra Naderi, B.Sc
Elham Valikhani, M.Sc

Address:
Seddighe Tahere Hospital, Khorram Ave, Isfahan, Iran       

Telephone:
+98 31_33359090

Fax:
+9831_33373435

Email:
1.
crc@mui.ac.ir
2. sadeghimasoumeh@gmail.com

History
This unit is the first cardiac rehabilitation department in Iran and even in middle east that was initially established to perform a series of researches about the effects of exercise on CVD patients but now it changed to a therapeutic research center with main goal of increasing quality of life in cardiac patient. This unit has long term comprehensive programs including medical evaluation, exercise prescription, cardiac risk factor modification, education and consultations. These programs are designed to limit the effects of cardiac illness and risk for sudden death or re infarction. Besides several training courses are organized by this unit for the persons of other universities of IRAN who are interested in setting up their own cardiac rehabilitation units. (For more information go to Training Achievement).

Objectives
1. Starting phase II rehabilitation units in specialty hospitals.
2. Starting inpatient rehabilitation units in hospitals that have CCU, cardiac ward and cardiac surgery wards.
3. Offering training to other Eastern Mediterranean regions.
4. Adding cardiac rehabilitation unit in the curriculum of endocrinology, cardiac, surgery and rehabilitation assistance course.
5. Training and encouraging cardiology and end cardiology specialists in order to refer patients to rehabilitation units.
6. Following all patients referred to rehabilitation units.
7. Increasing the adherence and decreasing drop out of patients in rehabilitation units.
8. Organizing national annual seminars.
9. Collaborating with Heart Friend Association.
10. Starting training classes for patients and high-risk patients in hospitals, health- treatment centers, exercise clubs and other volunteer centers.
11. Covering the families of CVD patients.
12. Conducting research on cardiac rehabilitation.
13. Coordinating activities with national plan

Who Makes Up the Cardiac Rehabilitation Team

  •  Cardiologists
  •  Sports medicine physician   
  •  Psychiatrist
  •  General physicians (GPs)
  •  Nurses 
  •  The occupational Therapist
  •  The dietician or nutritionist 
  •  Psychologist

 
Ongoing studies:
1.Comparison of Spiritual Intelligence, Psychology Hardiness and Lifestyle of Coronary Artery Disease and Normal Subjects of Isfahan   94103- Z Khayyam nekoei - Z Sistani
2. Effect of irisin as a new adipokin on LDL oxidation.  Dr. nayeri
3. Proposals and evaluation forms about cardiac rehabilitation  centers in the country - Dr. Hideri
1. examine the effect of a period of selenium supplementation on inflammatory factors in patients with metabolic syndrome and cardiovascular disease_ Mojgan GhariPour
 
Completed studies:
1. Study the effect of education program based on PRECEDE MODEL in cardiac rehabilitation programs on quality of life and general health in cardiac patients.
2. The effects of stress inoculation training on general health of hypertensive patient in Isfahan.
3. The effects of stress inoculation training on general health of cardiovascular patient in Isfahan.


1. The level and kinds of physical activities in Isfahan city, (1993).Plan performer: Dr. N. Sarraf-Zadegan.
2. Rehabilitation service to the myocardial infarction affected patients of university hospitals in Isfahan city, (1993).
Plan performer: Mr. A. KhaliphehZadeh.
3. The effect of educational sport messages put up in Isfahan parks on the knowledge of sportsmen, (1994).
Plan Performer: Mr. K. Sadeghi Nogorani.
4. The effect of different rehabilitation duration on psychological characteristic and exercise capacity in post myocardial infarction patients, (1998).
Plan performer: Dr. K. Rabiei.
5. The effect of relaxation on hypertension, 1998.
Plan performer: Dr. J. Najafian.
6. Comparison of serum lipid profiles and fasting blood sugar levels between two groups performed in traditional and aerobic exercises, (1997).
Plan performer: Dr. J. Najafian.
7. Comparison of changes in heart rate and blood pressure between smoker and non-smoker patients with myocardial infarction during exercise testing, (1997).
Plan performer: Dr. K. Rabiei.
8. The effect of cardiac rehabilitation on sexual activity in patients with myocardial infarct on rehabilitation unit of Isfahan cardiovascular research center, (1999). In Plan performer: Dr. J. Najafian.
9. The effect of cardiac rehabilitation on ejection fraction and functional class in patients with left ventricular failure, (1999).Plan performer: Dr. J. Najafian.
10. The effect of a cardiac rehabilitation program on physical and psychosocial characteristics in patients with myocardial infarction referred to Rehabilitation Unit of Isfahan Cardiovascular Research Center, 1997.Plan performer: Mr. K. Sadeghi.
11. Cardiac patient's software, (1999).Plan performer: Dr. J. Najafian, Mr. M. Mortazavi
12. Assessing HDL-Cholesterol gene and apoCIII gene in patients with premature coronary artery disease.Plan performer: Dr. S. Asgary, Dr. GH. Naderi, Dr. K. Rabiei.
13. The effect of relaxation on hypertension, 1998.Plan performer: Dr. J. Najafian.
14. The effect of massage therapy on blood pressure of prehypertension women who refer to health and treatment centers in 2010        
15. The effect of exercise cardiac rehabilitation on the left ventricular structure,systolic function and diastolic filling in patient with myocardial infarction  
data entery of cardiac rehabilitation patients    
16. Surrvey of efficiency of educational and exercise intervention based on social cognitive theory in patients empowerment diagnosed with heart failure 
17. Plasma adiponectin, omentin-1, eotaxine responses and cardiometabolic risk factors after 8-weeks cardiac rehabilitation program in obese patients with myocardial infarction  
18. Effect of 8 weeks of rehabilitation exercises with herbal supplement Ginkgo Biloba on risk factors for coronary artery disease in patients referred to Isfahan cardiovascular research center  
19. Comparison of home-based exercise rehabilitation with centre-besed cardiac rehabilitation on lipid profile and blood pressure in patients with coronary artery disease  
20. Short term vs. long term use of transcranial direct current stimulation (tDCS) in rehabilitation of upper limb paresis among stroke patients  
21.effects of Brailletonik training on blood pressure BDNF factor and cognitive function in older women  
22.effect of rehabilitation on exercise test in patients with heart failure (left ventricular dysfunction)
23.effect of cardiac rehabilitation training with rezvin supplementation on serum levels of C-reactive protein and lipid profile in atherosclerotic stricken 
24.Effect of 8 week of pilates exercises on postural abnormalities, strength and quality of life of cardiac patients after open-heart surgery 


Publications:
1. Saeidi M, Rabiei K, Mohammadifard N. Effects of cardiac Rehabilitation on lipid profile in high-risk cardiac patients. Research in Medical Science Journal,8(4) 2003:20-24.
2. Rohafzah H,Saeidi M,Sadeghi M,Boshtam M,Rabiei K. Effect of cardiac Rehabilitaton on psychological stresses in an Iranian population. Research in Medical Science Journal, 8(3) 2003:94-97.
3. Najafian j, Gholestan. Hashemi SM. The effect of relaxation and biofeedback assisted relaxation on patients with mild Hypertension. Medical journal of Tabriz university of medical sciences &Health services.2003; Apr-june 57:76-81.
4. Sadeghi M, Rabiei K, Roohafza H, Boshtam M, Mohammadifard N. Compression of cardiac rehabilitation on exercise capacity and cardiovascular risk factors in males and females. Research in medical sciences Journal, 8(4), 2003:31-35.
5. M, Sadeghi, HR, Roohafza, GH, Sadri A, Bahonar, M.Saeidi, A.Amini.Prevalance of high blood pressure and its relation with cardiovascular risk factors. The journal of Qazvin oniv, of Med.Sei. NO.26, Summer2003: 46-52.
6. Saeidi M, Effect of cardiac rehabilitation on lipid profile in male and female cardiac patients. Journal of Iranian Association physiotherapy. 2003.
7. Mohammadifard N, Sarraf-Zadegan N, Sajadi F. Effect of cardiac rehabilitation on serum lipids". J of Medical council of Islamic republic of Iran 2002; 20(3): 199-205.
8. Najafian j, Rabiei K. Effect of cardiac Rehabilitation on Ejection farction and functional class in patients with heart Failure after myocardial Infarction. Journal of Urmia University of medical sciences .2001; 12(3): 220-228.
9. Najafian J, Effect of cardiac rehabilitation on sexual dysfunction of post myocardial Infarction patients. J Rehabilitation .2001; 1(3): 12-16.
10. Boshtam M, Sadeghi K,Sarrafzadegan Effect of supervised exercise on type A personality and physical fitness after myocardial infraction". Acta Medica Iranica , 2000;38(4): 224- 228
11. Sadeghi K, Boshtam M, Khalili A, Sarrafzadegan N. level of physical activity in Isfahan population J of Iran Health.2000; 1(4): 69-76.
12. Sadeghi K,Sarrafzadegan N,Kargarfard M. Effect of cardiac rehabilitation on type A personality of myocardial patients. Olimpic j.1999; 7(5&6): 84-94.
13. Maghsoodlou S, Sadeghi Ksarrafzadegan N, "Effect of cardiac rehabilitation programs on exercise capacity of cardiac patients by results of exercise stress test. J of medical council of Islamic republic of Iran.1998, 4:253-59
14.Saeidi M, Rabiei K, Kelishadi R, Sadeghi M. The association of leisure time physical activity, watching television, obesity and lipid profile in an Iranian population. Pak J Med Sci October-December 2005, vol.21, no.4, 476.481.
15. Saeidi M, Rabiei K. Cardiac rehabilitation in patients with Diabetes Mellitus. Arya Journal, 2005, 1(3):202-206.
16. Saeidi M, Rabiei K, Najafian J. Comparison of cardiac rehabilitation results in cardiac patients after angioplasty, bypass and myocardial Infarction. Armaghane Danesh Journal, No.36, winter 2005.
17. Rabiei K, Boshtam M, Mirzaei H, Saeidi M, Sadeghi M. Cardiac rehabilitation, functional capacity and psychological characteristic after Myocardial Infarction. Journal of Urmia University of Medical Sciences, 2004;2(15);92-99.
18. Kelishadi R, Rabiei K, Khosravi A, Famoori F, Sadeghi M, Roohafza H, Shirani SH. Study of adolescent physical activity model in Isfahan. Journal of Shahrekord University of Medical Sciences, 3(2); summer 2001.
19. Saeidi M, kelishadi R, Sadeghi M, Roohafza H. The association of leisure time physical activity, watching television with atherosclerosis risk factor. ICRC Journal (Journal of Isfahan University of Medical Sciences attachment), No.71, winter2004.
20. Rabiei K, Saeidi M, Boshtam M, Alikhasy H, Sadeghi M. Cardiac rehabilitation in obesity patients. ICRC Journal (Journal of Isfahan University of Medical Sciences attachment), No.71, winter2004.
21. Darre F, Kelishadi R, Kahbazy M, Rabiei K, Heidari S, Baghaei M. Determine of infant physical activity model in Isfahan and Markazi provinces in 2002. Journal of Arak University of Medical Sciences, No.1, spring 2004.
22. Sarraf-Zadegan N, Sadri GH, Malekafzali H, Baghaei M, Mohammadifar N, Shahrokhi SH, Tolooie H, Poormoghadas M, Sadeghi M, Tavassoli A, Rafiei M, Kelishadi R, Rabiei K, Bashardoost N, Boshtam M, Asgary S, Naderi GH, Changiz T, Yousefie A. Isfahan Healthy Heart Program: a comprehensive integrated community- based programme for cardiovascular disease prevention and control. Design, methods and initial experience. Acta Cardiologica Journal, vol. 58, 2003. No.4, August.
23. Kelishadi R, Shafiei A, Hashemipour M, Rabiei K, Mohammadifar N, Amin Z, Alikhasy H, Sajadi F. Cross- sectional and longitudinal correlations of serum leptin concentrations with generalized and abdominal obesity in children and adolescents. J Ped Neonat 2006.
24. Gharipour M, Kelishadi R, Baghaei AM, Boshtam M, Rabiei K. Prevalence of metabolic syndrome in an Iranian adult population. ARYA Journal, 2005 1(3):188-192.
25. Gharipour M, Baghaei AM, Rabiei K, Sarrafzadegan N. Pharmacological treatment, lifestyle modification and awareness in coronary artery and cerebrovascular disease patient. ARYA Journal, 2006, 1(4):261-265.


International Articles:
Published Articles:
1. Boshtam M, Sadeghi K, and et al. "The effect of supervised exersice training on type A personality and physical fitness after Articles 224- 228.
2. Mohammadifard N Sarraf-Zadegan Sajadi F. Effect of cardiac rehabilitation on serum lipids. J association physician of India.


1. Masoumeh Sadeghi, Fatemeh Esteki Ghashghaei, Hamidreza Rouhafza. Comparing the effects of a cardiac rehabilitation program on functional capacity of obese and non-obese women with coronary artery disease. ARYA Atherosclerosis Journal 2012, 8(2): 55-58

2. Allahyar Golabchi, Fatemeh Basati, Mehdi Kargarfard, Masoumeh Sadeghi. Can cardiac rehabilitation programs improve functional capacity and left ventricular diastolic function in patients with mechanical reperfusion after ST elevation myocardial infarction?: A double-blind clinical trial. ARYA Atherosclerosis Journal 2012, 8(3): 125-129

3. Fatemeh Esteki Ghashghaei, Masoumeh Sadeghi, katayoun Rabiei, Hamidreza Roohafza, Nizal Sarrafzadegan. Gender differences in risk factors of obese patients after cardiac rehabilitation program.Iranian Journal of Nursing and Midwifery Research | July-August 2012 | Vol. 17 |Issue 5.

4. Masoumeh Sadeghi, Fatemeh E.Ghashghaei1, Katayoun Rabiei2, Hamidreza Roohafza3, Hamid Afshar3. Is there any difference between non-obese male and female in response to cardiac rehabilitation
programs?. Journal of Research in Medical Sciences | August 2012

5. Alireza Yousefy, Narges Keshtiary, Nikoo Yamani, Katayoun Rabiei, Pooya Baghbanian. Quality of Life in Post Myocardial Infarction Patients with or Without Cardiac Rehabilition. Reserch Journal of Biological Science 4(1):54-58, 2009

6. Fatemeh Esteki Ghashghaei, Masoumeh Sadeghi, Seyed Mohammad Marandi, Samira Esteki Ghashghaei. Exercise-based cardiac rehabilitation improves hemodynamic responses after coronary artery bypass graft surgery. ARYA Atherosclerosis Journal 2012, 7(4): 151-156.

7. Mina Naghnaeian, Masoumeh Sadeghi, Jafar Golshahi, Ali pourmoghaddas, Fatemeh Nouri, Safoura Yazdekhasti, Mohaddeeh Behjati. Differences between the Cgaracteristics of IHD Patients Undergoing Different Treatment Modalities Who Adhere to Cardiac Rehabilitation Programs.  

8. fatemeh steki ghashghaei, farzaneh taghian, jamshid najafian, mohammad marandi, mohammad arash ramezani, samaneh moastafavi, katayon rabiei. effect of cardiac rehabilitation on functional capacity of patients after cardiac surgery by assessing 6- minute walking test. arya Atherosclerosis Journal 2010, 5(4): 147-151.

9. Marzieh Saeidi, Samaneh Mostafavi, Hosein Heidari, Sepehr Masoudi. Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. Date of submission: 11 Sep 2012, Date of acceptance: 30 Jan 2013.

10. Marzieh Saeidi, Katayun Rabiei. CARDIAC REHABILITATION IN PATIENTS WITH DIABETES MELLITUS. ARYA Journal, 2005, 1(3): 202-206.

11. Hamidreza Roohafza, Masoumeh Sadeghi, Maryam Boshtam, Katayoun Rabiei,  Elham Khosravi. Effects of a cardiac rehabilitation course on psychological stresses in an Iranian population. ARYA Atherosclerosis Journal 2012, 7(Suppl): S74-S77.

12. Shadi Moafi, Vahid Zolaktaf, Katayoun Rabiei, Mohammad Hashemi Jazi, Hamed Tarmah, Masoumeh Sadeghi. Effect of home-based exercise rehabilitation on quality of life early post-dischargeafter coronary artery bypass graft and percutaneous coronary intervention. ARYA Atherosclerosis Journal 2012, 7(Suppl): S17-S22.

13. Mahin Moeini, Zahra Salehi, Masoumeh Sadeghi, Mehdi Kargarfard, Kobra Salehi. The effect of resistance exercise on mean blood pressure in the patients referring to cardiovascular research centre. ranian Journal of Nursing and Midwifery Research | July-August 2015 | Vol. 20 | Issue 4.

14. Fatemeh Esteki Ghashghaei1, Masoumeh Sadeghi, Samaneh Mostafavi, Hossein Heidari, Nazal Sarrafzadegan, The effect of the cardiac rehabilition program on obese and non-obese females with coronary disease.

15. Diana Keyhani, Mehdi Kargarfard, Nizal Sarrafzadegan, Masoumeh Sadeghi. Autonomic function change following a supervised exercise program in patients with congestive heart failure. Date of submission: 1 Jan 2013, Date of acceptance:30 Feb 2013.

16. Fatemeh Basati, Masoumeh Sadeghi, Mehdi kargarfard, Safoura Yazdekhasti, Allahyar Golabchi. Effect of cardiac rehabilitation program on systolic function and Left Ventricular mass in patient after myocardial infarction post revascularization. Journal of Research in Medical Sciences March 2012 Special Issue (1).

17. Nizal Sarraf zadegana, Katayoun Rabieib, Ali Kabirc, Seddighe Asgaryd, Aliakbar Tavassolig, Alireza Khosravie, Hamid Chalian . Original Scientific Paper Changes in lipid profile of patients referred to a cardiac rehabilitation program. European Journal of Cardiovascular Prevention and Rehabilitation 2008, 15:467?472.

18. Mina Naghnaeian, Masoumeh Sadeghi, Jafar Golshahi, Ali Pourmoghaddas, Fatemeh Nouri5, Safoura Yazdekhasti. Mohaddeseh Behjati . Differences between the Characteristics of IHD Patients Undergoing Different Treatment Modalities Who Adhere to Cardiac Rehabilitation Programs.

19. Masoumeh Sadeghi, Fatemeh Esteki Ghashghaei, Katayoun Rabiei, Allahyar Golabchi, Fatemeh Noori, Mozhgan Teimourzadeh Baboli5, Nizal Sarrafzadegan. Does significant weight reduction in men with coronary artery disease manage risk factors after cardiac rehabilitation program?. Journal of Research in Medical Sciences November 2013.

20. Nizal Sarrafzadegan ,Katayoun Rabiei, Shahin Shirani, Ali Kabir, Noushin Mohammadifard, Hamidreza Roohafza. Drop-out predictors in cardiac rehabilitation programmes and the impact of sex differences among coronary heart disease patients in an Iranian sample: a cohort study. Clinical Rehabilitation 2007; 21: 362?372.

21. Hamidreza Roohafza, Masoumeh Sadeghi, Maryam Boshtam, Katayoun Rabiei, Elham Khosravi. Effects of a cardiac rehabilitation course on psychological stresses in an Iranian population. ARYA Atherosclerosis Journal 2012, 7(5) Special Issue.

22. Marzieh Saeidi, Samaneh Mostafavi, Hosein Heidari, Sepehr Masoudi. Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. Date of submission: 11 Sep 2012, Date of acceptance:30 Jan 2013.

23. Nizal Sarrafzadegan, Katayoun Rabiei, Ali Kabir, Masoumeh Sadeghi, Alireza Khosravi, Seddighe Asgari, Siamac Esfandi, Hamidreza Roohafza. Gender differences in risk factors and outcomes after cardiac rehabilitation. Acta Cardiol 2008; 63(3): 000-000.

24. Fariba Jowkar, Hojatollah Yousefi, Alireza Yousefy, Masoumeh Sadeghi. Behavioral Chnge Challenges in the Context of Center-Based Cardiac Rehabilition; A Qualitative Study. Iran Red Crescent Med 06/2015; 17(5). DOI: 10.5812/ircmj.17(5)2015.27504.

25. Zohreh Khayyam Nekouei, Hamid Taher Neshat Doost, Alireza Yousefy, Gholamreza Manshaee, Masoumeh Sadeghei. The relationship of Alexithymia with anxiety depressionstress, quality of life, and social support in Coronary Heart Disease (A psychological model). Journal of Education and Health Promotion | Vol. 3 | June 2014.

26. Katayoun Rabiei, Roya Kelishadi, Nizal Sarrafzadegan, Gholamhossein Sadri, Ahmad Amani. Short-term results of community-based interventions for improving physical activity: Isfahan Healthy Heart Programme.

27. Golabchi Allahyar. Smoking Paradox at Cardiac Rehabilitation International Journal of Preventive Medicine, Vol 3, No 2, February 2012.

28. Masoumeh Sadeghi, Mohammad Garakyaraghi, Mohsen Khosravi, Mahboobeh Taghavi, Nizal Sarrafzadegan, Hamidreza Roohafza. The Impacts of Cardiac Rehabilitation Program on Echocardiographic Parameters i n Coronary Artery Disease Patients with Left Ventricular Dysfunction. Hind aw i Publishing Corporation Cardiology Research and Practice Volume 2 013, Article ID 2 017 13, 4 pages.

29. Sadeghi M ,Garakyaraghi M,Taghavi M,Khosravi M,Sarrafzadegan N,Roohafza H. The Impacts of Cardiac Rehabilitation Program on Exercise Capacity, Quality of Life, and Functional Status of
Coronary Artery Disease Patients with Left Ventricular Dysfunction. PMID: 24842623.

30. Masoumeh Sadeghi, Mohammad Garakyaraghi, Mahboobeh Taghav
Mohsen Khosravi, Nizal Sarrafzadegan, Hamidreza Roohafza. The Impacts of Car diac Re habilitatio n Program on Exerc ise Capacity, Quality of Life, and Functional Statu s of Coron ary
Artery Disease Pati ents with Left Ventric ular Dysfuncti on. Accepted February 16, 2014. doi: 10.1002/rnj.160.


Services:

This unit has been established based on specific aims such as several evaluations like determining CVDs risk factors, the rate of exposure to these risk factors which have done in order to plan the preventions and treatment protocols.
These evaluations include:

1. completing the card of patient
2. Examination of patient
3. Echocardiography
4. Prognostic exercise test
5. Physiological tests to determine agitation and depression of patient
6. Para clinic tests to determine lipid profile, FBS ?
7. Completing nutritional questionnaire to determine daily diet

The patients will be under supervision of physician, physiotherapist and nurse to exercise programs during 24 sessions, 8 weeks, 3 sessions in the week, every session in about 60 min.
These programs would be planned according to the evaluated risk of patients and if it is necessary to be monitored it will be done for them.
It should be said that at first 36 exercise sessions ere done and then by doing some researches and referring to reference books, the number of sessions decreased to 24.
At the end of rehabilitation period, patients would be results evaluate for second time and compare with first results and with finally reports they would be referred to the physician or cardiac wards that they referred.
In addition training classes could be done for patients and their families as face-to-face or group classes through their exercise period.

Some of the training titles are as fallow:

1. What we should know about our heart
2. How much energy patients need and how to obtain it
3. Heart drugs and their side effects
4. Appropriate nutrition
5. How to encounter with daily stresses
6. Blood pressure in cardiac patients
7. Blood lipid in cardiac patients
8. Risk factors in CVD
9. Tobacco
10. Healthy heart in children
11. CPR

Center Equipment

  •  Elliptical machines
  •  stationary bikes
  •  Treadmills
  •  Upright stationary bikes
  •  Recumbent stationary bikes
  •  NuStep, a recumbent cross-trainer
  •  Upper-body ergometer
  •  blood pressure tracker
  •  ECG MONITORING
  •  Suction
  •  CRP set
  •  ECT
  •  Bookshelf
  •  Glucose Tracker
  •  Oxygen
  •  Computer


Benefites:

Cardiac rehab offers many benefits. It can improve your ability to carry out activities of daily living, reduce your heart disease risk factors, improve your quality of life, improve your outlook and emotional stability, and increase your ability to manage your disease.

Education should achieve two key aims:
- To increase knowledge and understanding of risk factor reduction
- To restore confidence and foster a greater sense of perceived personal control

Cardiac rehabilitation education should be tailored to individuals and their needs and include:

  •  pathophysiology and symptoms
  •  physical activity, diet and smoking
  •  weight management
  •  other risk factors: blood pressure, lipids and glucose
  •  psychological/emotional self-management
  •  social factors and activities of daily living
  •  occupational/vocational factors
  •  sexual dysfunction
  •  pharmaceutical, surgical interventions and devices
  •  cardiopulmonary resuscitation
  •  additional information, as specified in other components

Target groups:

  •  Cardiovascular disease
  •  Had a recent cardiac event, such as a heart attack
  •  Heart failure
  •  Had a cardiac procedure, such as angioplasty or heart surgery
  •  An arrhythmia (abnormal heart rhythm) or an implantable device (for example, pacemaker or defibrillator)

Nutritional Counseling

Obtain estimates of total daily caloric intake and dietary content of saturated fat, trans fat, cholesterol, sodium, and nutrients

Assess eating habits, including fruit and vegetable, whole grain, and fish consumption; number of meals and snacks; frequency of dining out; and alcohol consumption
Determine target areas for nutrition intervention as outlined in the core components of weight, hypertension, diabetes, as well as heart failure, kidney disease, and other comorbidities


Prescribe specific dietary modifications

 aiming to at least attain the saturated fat and cholesterol content limits of the Therapeutic Lifestyle Change diet.Individualize diet plan according to specific target areas as well as heart failure and other comorbidities. Recommendations should be sensitive and relevant to cultural preferences


Psychosocial Care

n Reduce fear and anxiety
n Assist with adjustment
n Promote positive attitude
n Facilitate behaviour change
n Identify need for further support

Management of Psychosocial and professional issues
Patients with heart disease are often confronted with psychological and social problems that can affect both morbidity and mortality. Depression, anxiety, and denial occur in up to 20% of patients following myocardial infarction. During cardiac rehabilitation follow-up, patients undergo a routine screening to identify anxiety, depression, substance abuse and familial or other social problems. The social workers and others professionals involved in the multidisciplinary team in cardiac rehabilitation centers provide patients with the information and the help they need to plan for their return to work and to a normal life.
Medical, psychological and social interventions tailored to individual problems are offered and have been shown to improve outcomes .
The INTERHEART Study quite clearly demonstrated that stress was the third most important risk factor for coronary events, following lipids and smoking, and accounts for approximately 30% of the population?s attributable risk of acute MI .Psychosocial stress affect cardiovascular disease process through the increase in blood pressure, blood glucose, lipid levels and body weight. It also promotes the progression of atherosclerosis, inflammation and endothelial dysfunction.
Exercise training has been associated with reductions in stress and its related mortality.
Many cardiac rehabilitation programs also offer stress management workshops to help patients identify, avoid and deal with stressful situations.
Cardiac rehabilitation is therefore an important therapeutic tool for distressed cardiac patients. Besides exercise training, many cardiac rehabilitation centers offer other stress reduction techniques training including meditation, relaxation breathing, yoga etc.

Steps:
Assessment

Occurs at first point of contact (diagnosis, exacerbation or risk factor recognition) by the health care practitioner.
Followed by regular periodic reassessments carried out to determine consumer progress (includes the impact of the various social determinants of health). These range from structured follow-ups in primary care, to case management by specialist practitioners, depending on the level of need.

Education and self-management strategies to promote behaviour change
Provided by all members of the team, opportunistically at first point of contact and ongoing at multiple points to promote the benefits of CRSP and health literacy. Topics include: cardiovascular risk factor modification, symptom and heart disease management, the importance of medication adherence and regular medical assessment, and stepped role resumption.
A management plan can be developed in partnership with the consumer/carer, to record milestones and goals. Referrals to other services may be required

Exercise
Group exercise, exercise instruction and/or advice are provided according to the consumer?s clinical features, documented risk, psychosocial needs, circumstances and logistics.

Psychosocial support
Promotes a deeper understanding of the challenges faced by the patient
Helps to identify depressive and anxiety states that may require further review or intervention.

Medical follow-up
Usually carried out by the person?s general practitioner (GP), and, when appropriate, cardiologist or other physician. Includes review of biomedical markers (e.g. lipids, blood pressure), medication prescription and progress on all of the above.

Comprehensive program
The comprehensive Cardiac Rehabilitation Program offers several phases of the program to serve your needs, including:
 Phase 1: Hospitalization. Evaluation, education and rehabilitation efforts begin while you're still in the hospital following a cardiac event.
 Phase 2: Early outpatient. In the immediate posthospitalization period, you'll begin attending classes and participating in a regular exercise program. Exercise specialists, registered nurses, doctors and others closely monitor you. Most major.
 Phase 3: Extended outpatient. This is a self-pay supervised exercise service that is designed for maintenance and ongoing progress of your heart health. Your vital signs are checked routinely. ECG monitoring isn't performed routinely in this phase unless your doctor determines it's necessary. Generally, people in this phase have graduated from phase two.
 
Future policies
1. Design and localization of cardiac rehabilitation program in Iran.
2. Research in palliative care in cardiology
3. Research in Social Determinants of Cardiovascular Diseases
4. Research In Mental-social wellbing of cardiovascular disease
5. Develop policies for preventing heart disease and stroke at national, state, and local levels to assure effective public health action.
6. Define criteria and standards for population-wide health data sources. Expand these sources as needed to assure adequate long-term monitoring of population measures related to heart disease .
7. Encouragement with Training and specialists for refereeing CVD patients to all rehabilitation units.
8. A referral system put into operation by CCUs and cardiac wards with the supervision of related physicians for their high risk patients and relatives
9. Adding a one month cardiac rehabilitation course to cardiac residents? in the special training period.
10. Holding the international congress of rehabilitation.
11. Training PHD student


 

Last update:  Saturday  7  October  2016
  (1395/7/17)

Back to top

Isfahan University of Medical Sciences
If you are looking for additional information, please contact us.
For technical queries about website click here.