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Cardiac Quiz - Second Nature Care - Naturopathic Medicine

[fa icon="calendar'] Mar 10, 2015 10:00:00 AM / by Dr. Isadora Guggenheim

Naturopathic Cardiac Care - Second Nature Care

Isn't this a beautiful image in nature?  See how well you do with this Medscape Cardiac Care Quiz.  We all know someone who has had a cardiac event and needs cardiac rehabilitation.  

I want you to think about using Naturopathic Medicine to prevent a cardiac event and reversing cardiovascular disease. We use botanical medicines, homeopathy, clinical nutrition, colonics, environmental medicine and I.V. therapies.  Our ozone chelation patients are reversing cardiovascular disease everytime they get treatment.    

Without further adue, please enjoy this quiz. Don't worry if you are not an expert - try it - you'll get more right than wrong using common sense. 

Cardiac rehabilitation is designed to reverse limitations experienced by patients who have developed pathophysiologic and psychological consequences of cardiac events. Cardiovascular disorders are the leading cause of mortality and morbidity in the industrialized world, accounting for almost one half of all deaths annually. In the United States alone, more than 14 million people have coronary artery disease or associated complications, including congestive heart failure (CHF), angina, and arrhythmias.

Do you know the factors that influence cardiac rehabilitation and best practices? Test your knowledge with our quick quiz.

Patients with which of the following cardiac conditions are NOT appropriate candidates for cardiac rehabilitation?
Uncontrolled arrhythmias
Coronary angioplasty
Heart transplant
Angina pectoris

Patients with severe ventricular arrhythmias and uncontrolled supraventricular arrhythmias should be excluded from exercise training unless proper evaluation and effective therapy have been instituted. Cardiac rehabilitation was initially designed for low-risk cardiac patients. Because the efficacy and safety of exercise have been documented in patients who were previously stratified to the high-risk category, the indications have been expanded to include such patients.

Which of the following factors influences functional capacity?

Left ventricular dysfunction
Residual myocardial ischemia
Age
All of the above

Functional capacity is measured by determining the maximal oxygen uptake (VO2max) during incremental exercise. In most patients, a rough calculation of functional capacity can be performed by using multiples of 1 MET (metabolic equivalent; 3.5 mL O2 uptake/kg/min). Age, left ventricular dysfunction, and residual myocardial ischemia are all factors that influence capacity. All of the above. 

Ozone therapy increases functional capacity and oxygen utilization. 

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Which of the following is not an absolute contraindication to exercise testing and exercise prescription?

Severe residual angina
CHF
Uncontrolled arrhythmias
Hypertensive systolic blood pressure response

Approximately 4.7 million patients with CHF are eligible for a slightly modified program of rehabilitation. Familiarity with contraindications to exercise testing and prescription is important. For example, although some elevations in systolic blood pressure in response to exercise are considered physiologic, abnormal hypertensive response is among the contraindications to exercise prescription.

During phase 2 of cardiac rehabilitation, what is the minimum frequency of exercise treatments?

Once a week
Three times a week
Every other day
Every day

Exercise treatments usually are scheduled three times a week at the rehabilitation facility. Constant medical supervision is provided; this includes supervision by a nurse and an exercise specialist, as well as the use of exercise ECGs. In addition to exercise, counseling, and education about stress management, smoking cessation, nutrition, and weight loss are also incorporated into this phase. Phase 2 may last 3-6 months.

Which of the following is not necessarily a direct outcome or benefit of cardiac rehabilitation?

Improved exercise capacity
Cessation of smoking
Return to work
Reduction in stress
Cardiac rehabilitation exercise training exerts less influence on rates of return to work than on other aspects of life. Many nonexercise variables also affect this outcome (eg, prior employment status, employer attitude, economic incentives). Cessation of smoking can be expected in 16%-26% of patients. In multifactorial cardiac rehabilitation programs, improvement in emotional stress measurements occurs, as does a reduction in type A behavior patterns.
You can increase your productivity and get to work with I.V. ozone therapies. Second Nature Care Cardio Care with ozone therapy.
Are You Familiar With the Various Factors That Influence Cardiac Rehabilitation and Best Practices? Medscape. Feb 25, 2015.

Topics: Heart Health, Healthy Living

Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963 drguggenheim@msn.com