Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 48

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Keep Your Move In The Tube ®
Keep Your Move In The Tube ® gained attention
again in fiscal year 2019 for its innovative
approach to cardiac rehab for sternotomy
patients. Members of the Baylor Scott & White
Heart and Vascular Hospital – Dallas cardiac
rehab team have visited other rehab programs
globally and nationally to share the theory and
techniques of the program. A national news
story airing in fiscal year 2019 led to numerous
cardiovascular rehabilitation centers from all
over the US contacting the team for education
and permission to use the protocols.
Another unique differentiator from other
programs is the individualized care plans
developed for patients with ventricular assist
devices (VAD), an external mechanical pump
that assists the heart pumping blood throughout
the body. One of the most challenging cardiac
rehabilitation patients for some programs,
ventricular assist device patients are generally
in a situation whereby they are bridging to
heart transplantation and waiting for an
appropriate donor. However, some patients who
are not heart transplant candidates may live
with a VAD as a long-term solution. The cardiac
rehabilitation program in Dallas is adept at caring
for these patients, helping them gain strength
and stamina during their journey while providing
necessary support as each patient strives
to achieve the highest quality of life with the
device. This specialized expertise is important
on the Dallas campus as the Ventricular Assist
Program at Baylor University Medical Center is
one of the largest in the nation.
In addition, a variety of cardiac rehab
components were the subjects of research
studies and clinical trials in fiscal year 2019.
The team also continues to be in the forefront
of publications and presentations at national
conferences. An example from fiscal year 2019
was the published article:
Comparison of reflex, resistance training,
and core activities using change in blood
pressure over time after spontaneous
coronary artery dissection.*
Authors: Katelyn Brown, BS, Jenny Adams,
PhD, and Peter A. McCullough, MD
The article’s summary: A 53-year-old female
athlete with spontaneous coronary artery
dissection, acute myocardial infarction and
infrarenal abdominal aortic dissection enrolled
in a six-week cardiovascular rehabilitation
(CR) program. During CR sessions, the patient
performed a combination of aerobic, resistance
training and core activities. In the final CR
session, the patient performed reflex activities
and the forced Valsalva maneuver. The patient’s
electrocardiogram, blood pressure, heart rate,
and transient change in blood pressure over
time were continuously monitored and recorded.
The patient completed CR without negative
symptoms or adverse events.
*Baylor University Medical Center Proceedings. Vol 32, 2019.
Leap for Life ®
For decades, physicians have been
recommending and referring their
patients with heart issues to cardiac rehab.
Initially viewed as an exercise program designed
to get the heart back into shape, today’s cardiac
rehabilitation program uses a comprehensive
approach including exercise, diet, medication
counseling, emotional support, and in-depth
education about preventing future heart
disease. The emphasis on prevention is captured
in a program called Leap for Life ® . The program
is comprised of sessions for cardiovascular
patients, caregivers and open to the community
on heart-healthy topics, risk-factor modification
and personal goal setting. “Leap” stands for
Lifestyle Education Awareness Program. Taught
at both the Dallas and Fort Worth location, this
program has been in existence for 12 years.
Attended Leap for Life ®
(FY19)
857
For more information about Leap for Life
classes or other heart-healthy education
classes, please call 1.844.BSW.DOCS
or check BaylorHeartHospital.com/
LeapforLife.