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Healthy way of life
HEART ATTACK AND COMPREHENSIVE FOLLOW-UP CARE: OUTPATIENT CORONARY CARE (ANTI-CORONARY CLUB) The adoption of a new life-style which promotes the health of the patient and involves regaining his confidence and putting his fears aside, is made easier for him if he can meet once or twice a week with other patients under the supervision of a physician. Many such groups and clubs have been founded successfully in every city and town with the cooperation of experienced and competent physicians. Such a club for coronary patients does not involve formal or legal statutes, but instead is an informal gathering of twenty to twenty-five patients. A physician and physical therapist (a psychologist, dietician, and sociologist may also be present) supervise a one to two hour weekly program of physical activity to improve the blood circulation and general health of the patients. In one such group under our guidance, all patients are invited who live in that particular area and have the permission of their physician. In many groups patients are accepted, when they attain 75 watts on a bicycle ergometer and when high blood pressure, irregular cardiac rhythm and congestive heart failure are treated. The age of the group ranges from 35 to 70 years of age. While some patients had sustained only a minor heart attack, others suffered from various complications. After warming up, the group exercises together. Breathing and relaxation exercises are interspersed, and this part of the session ends with a game and a shower. A discussion follows about the elimination and reduction of risk factors, and about the problems a patient encounters after being discharged from the intensive care unit. Common experiences such as shock, fear and depression are overcome in an atmosphere of sympathy, mutual understanding, and encouragement. Patients often emphasize that all those who participate in the discussion groups feel better as soon as they can share their feelings and no longer feel as isolated as they did right after the heart attack. In the course of six to twelve months participants in this medically supervised group become independent and learn how to help themselves. Wives of those patients who do not join such groups relate how much more difficult it is for these patients to return to a normal life-style. Spouses may also gain much from such groups when they see how the patients are able to return to a more normal life-style and learn how to deal with the patients on a personal basis. Unfortunately, no complete lists of such groups are yet available, but perhaps your physician can put you into contact with one. *37\351\2* Cardio & Blood |
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