Cardiac prevention and rehabilitation program
Duke's cardiac prevention and cardiac rehabilitation programs reduce your heart disease risk by helping you implement heart healthy lifestyle changes. We conduct a comprehensive health risk assessment and design a program to speed your recovery, maintain a heart healthy lifestyle and live a more active life.
Your support network for preventing heart disease and improving heart health
Our preventive cardiology team will help determine your risk of heart disease and, if you are at an increased risk, design a personalized care plan to reduce your chances of developing heart disease. If you are recovering from a heart procedure, our cardiac rehabilitation team will be part of your support network. Our specially trained physicians, exercise physiologists, nurses, dieticians, and counselors work with you to help set you on a course to make lasting lifestyle changes. We do more than treat your heart disease - we help you exercise more, manage stress, eat right and stop smoking.
Choose Duke Heart Center for cardiac prevention and rehabilitation because we offer:
- Top-ranked care. U.S. News and World Report ranks Duke Heart Center 5th in the nation, based on our patients’ survival rates, the number of procedures we perform, and the quality of our support services.
- Personalized treatment plans. Your health risk assessment includes your current health status, health goals and personal preferences. We develop a care plan you can adopt and adapt over time to maintain long-term, heart-healthy living.
- National leaders in preventive medicine. As members of the 2008 U.S. Department of Health and Human Services Physical Activity Guidelines Advisory Committee, our physicians helped establish the first national exercise guidelines for heart disease prevention. We use the same knowledge and expertise to develop a care plan that meets your needs.
- Access to clinical trials. Our ongoing clinical trials examine which patients benefit from prevention efforts, and which are most effective.
- Tailored heart failure program. If you have heart failure, our heart failure rehabilitation group is tailored to meet your needs. Join us for lectures that include an introduction to heart failure, stress management, energy conservation, breathing techniques, nutrition, and learning to live with your diagnosis.
- Insurance coverage and payment flexibility. You may quality for Medicare and major medical insurance coverage because our state-certified Cardiac Rehabilitation program follows the North Carolina Cardiac Rehabilitation guidelines. If you are ineligible for insurance coverage, we offer the Cobb HEARTS (Healing through Eating healthy, Activity, Relaxation, Treatment and Support) Program, which provides similar cardiac rehabilitation services for a reasonable fee.
CARDIAC PREVENTION AND CARDIAC REHABILITATION
Your risk evaluation includes an initial health risk assessment and a review of your family history of heart disease. We’ll continue to periodically assess your heart health and related risk factors with the following tests.
We monitor your weight, BMI (body mass index), blood pressure and waist circumference. Too much abdominal fat indicates a higher risk for type 2 diabetes and other heart disease risk factors.
Periodic assessments measure cholesterol, triglycerides, and other fats in your blood that can affect your heart. We also measure the presence of C-reactive protein, which can indicate the presence of inflammation in your body, as well as increased heart attack risk.
We review the factors that impact your heart health such as smoking, exercise and eating habits, and work with you to create personalized treatment programs designed to improve your health.
A specialized metabolic exercise test to accurately measure your cardiorespiratory fitness level, which is an important measure of your overall health and risk for heart disease. The test can also be used to determine precise and personalized exercise prescriptions to optimize your health.
CARDIAC PREVENTION AND CARDIAC REHABILITATION
We review any medications you currently take, discuss the proper way to take them, and potential problems with drug interactions. We’ll continually assess the drugs’ effectiveness and look for side effects.
Our educational lectures and resources cover what you need to know to make heart healthy lifestyle changes.
If you smoke, we want to help you quit. We offer counseling, support groups, nicotine replacement therapy, prescription tobacco cessation drugs and cognitive therapy -- all the elements of an effective smoking cessation program.
We work with you to establish realistic weight loss goals and help you meet those goals with appropriate activities and healthy eating plans.
Individual meetings with our nutritionists and group lectures help you identify the best food choices to meet your heart healthy goals.
No matter what your current activity level, our exercise physiologists help you incorporate exercise into your daily routine. We introduce a variety of activities, including walking, biking, strengthening, flexibility and balance training. We monitor your progress to ensure your safety and push you to reach the next level. This medically supervised approach builds your confidence, and is designed to help you maintain your motivation after you complete your rehabilitation session.
Psychological risk factors put you at greater risk for heart disease. Our skilled counselor helps you address emotional concerns, and our program includes courses in stress reduction techniques like meditation and relaxation.