Cardiac Exercise Prescription, Referral & Rehabilitation case study Essay

Cardiac Exercise Prescription, Referral & replenishment case study - Essay ExampleThe paroxysm typic wholey lasts for 5 to 10 minutes and subsides with rest. The pain is non-radiating and is not associated with other symptoms like nausea, vomiting, cough, breathlessness, palpitations, syncopal attacks, expectoration, edema or fever. The patient role also complains of easy fatiguibility since 15 days. chivalric Medical History (Non-cardiac) He has hypertension since 10 years and is on antihypertensives and aspirin. He has high inception cholesterol levels which has reduced after initiation of cholesterol lowering agents. Peter suffered from major illness at 20 years of age when more than half his lung was damaged due to pneumonia. He underwent 2 herniation operations, one for right inguinal hernia 10 years ago and a repeat operating theater for the same hernia 6 years ago. His stay in the hospital during that period was uneventful. Peter does not have diabetes mellitus. There ar e no known allergies identified in him. Cardiac History The patient is a known case of myocardial ischemia, diagnosed 4 years ago when he was treated with billet of stents. 17 months ago he suffered from myocardial ischemia. Currently, he is admitted for angina due to ischemic heart complaint. ischemic heart disease or IHD or coronary heart disease is a delineate in which there is oxygen deprivation to the muscles of the heart as a result of decreased blood fertilise and perfusion and is accompanied by inadequate removal of the products of metabolism (Zevitz, 2006). This is the most common form of heart disease and a leading cause of premature death in the developed countries (Zevitz, 2006). The hallmark feature of this condition is imbalance between the supply and demand of oxygen of the myocardium which can occur either due to change magnitude myocardial oxygen demand or decreased myocardial oxygen supply or both. ischemia to the myocardium results from disease in the coron ary arteries. The disease is most often due to formation of atheroma and its consequences like thrombosis. Of all the arteries in the body, coronary arteries are at increased risk of developing atheroma (Maseri et al, 1992). Personal autobiography As a lorry driver, Peter used to enjoy eating fatty food, especially devour away(predicate) Chinese foods. The patient has regular diet and sleep. His bowel and bladder habits are regular. The patient was a smoking car and used to smoke or so 60 cigarettes a day. 3 years ago, the number came down to 10 per day. He has given up smoking now for the past one month. He does not take alcohol. He is not addicted to illicit drugs. He leads an active life and walks about half an time of day a day for 5-6 days a week, of which atleast 10 minutes is brisk walking. His hobbies are racing and gardening. Family history Both his parents were diabetic and hypertensive. However, there is no family history of heart disease. Peter is married and has o ne girl and five sons, who are source of some stress to him. Education Peter did not undergo victorian schooling. He studied in a technical school for 3 years. He started working as a lorry driver since the age of 15. He did not receive any education about cardiac disease. Patient mentioned that if he received any such education earlier, he would have keep down down on smoking. Risk Factor Profile Modifiable risk factors 1.