The Four Phases Of Cardiac Rehab

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🩺ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.
At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease.
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[@hepgeoff]

Great info, thanks! I've been through cardiac rehab, and it really does help get you back into shape. In your opinion, are there more risks for complications from surgery (bypass or stent) when you're over 70 like I am? I'm looking at possible stent surgery pretty soon, so I was just wondering.

[@PrevMedHealth]

In most (>90%) do not help. They don't prevent heart attacks. See my videos on the ORBITA, COURAGE, & ISCHEMIA trials.

[@PrevMedHealth]

>90% are done to prevent heart attacks. But they don't do that. (ISCHAIA, COURFAE, & ORBITA trials.

[@hepgeoff]

@@PrevMedHealth Thanks for the info. My last stent was to improve quality of life. I couldn’t exercise without chest pain before. After the stent I could exercise without any angina. But your point is well taken.

[@keithcorodimas8093]

Because of the radiation therapy I had to the chest in 1979, I was recently diagnosed with radiation-induced heart disease. After a lot of PubMed searches and reading, I had open-heart surgery (2 valves, x3 bypass, and Commando procedure for calcified annulus and leaflets) done in September at the age of 60 at the Cleveland Clinic. The breathing exercises that doc Brewer recommends post-op should also be done daily for weeks pre-op, if possible; this is considered "prehabilitation," and there are many published, randomized controlled studies showing that working with a spirometer before surgery reduces respiratory complications, like pneumonia. My surgery went very well even though the surgical load was heavy, and my recovery has been good b/c of my walking, breathing exercises... Thanks doc B for an important reminder.

[@PrevMedHealth]

Thanks

[@user-yy3vd9vx7y]

thank you sir for all those hrs of info.👍🙏🇨🇦

[@PrevMedHealth]

Thanks

[@oldroscoe2590]

Good timing, I wasn't going to walk today... now I am.

[@jameskantor0459]

This was excellent, Thank you Dr Ford.

[@PrevMedHealth]

Thank you

[@samohahaideri3166]

WOW, direct, brief and maximum in its aim. Salut you Dr.

[@PrevMedHealth]

Thanks.

[@filmaker256]

I may be only 43 but I still keep the same workout routine I've always had. I know if I let myself slow the plaque can build

[@user-yy3vd9vx7y]

I use to be an waiter runing... for averange 10hrs shift was super lean stop that job 2 years later plaque??

[@PrevMedHealth]

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