Consultation of medical records: recent and past medical history (significant events, previous cardiac or other surgery, level of self-sufficiency prior to the acute event, etc.); type of heart attack; reading of radiological examinations (X-ray, CT, MRI) to check respiratory involvement; completion of the rehabilitation record with evaluation sheets and treatment planning.
Respiratory Rehabilitation is considered in all respects a non-pharmacological therapy for the prevention of respiratory complications. The development of a personalized rehabilitation program is essential for it to succeed, as are the evaluation and selection of sensitive indicators to document changes to the clinical condition.
Patients who have had a heart attack or other acute cardiac event are confined to bed for the first few days after the event, most often in a semi-supine position. This time frame may extend further at the onset of any complication, so these patients, besides respiratory exercises, also require adequate physical re-education to prevent:
- muscle and joint stiffness and pain;
- atrophy and muscular weakness;
- circulatory disorders (e.g. oedema, DVT);