Toronto Rehab - Guidebook for Referring Professionals - Cardiac Rehabilitation and Secondary Prevention Program

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Cardiac Rehabilitation and Secondary Prevention Program

Rumsey Centre, 347 Rumsey Road, Toronto, Ontario M4G 1R7

Tel:	416-597-3422 ext. 5200
Fax:	416-425-0301

Type of program:	Outpatient
Length of program:	12 months
Referral required:	Physician

Toronto Rehab's Cardiac Rehabilitation Program, one of the largest of its kind in North America, treats close to 1,600 people each year who are recovering from various forms of heart disease and/or surgery.

The goals of the program are to prevent and limit the physiological and psychological effects of cardiac illness, and to improve overall cardiovascular fitness and health. The program's staff accomplish this by developing individualized programs of exercise, education and lifestyle modification that are tailored to individual needs and abilities.

Facilities include:

• two 200-metre walk/jog tracks - one indoor and one outdoor
• a gymnasium for pre-class warm-up and resistance training classes
• two Human Performance Labs for fitness testing
• a 120-seat lecture hall for patient education
• men's and women's change rooms

Program Highlights:

•	Extensive cardiopulmonary assessments are conducted in the Human Performance Lab. Test results allow us to develop safe and effective exercise training programs for each patient.
•	Physician supervised exercise classes. Each class consists of a lecture, followed by the patient's prescribed exercise. Patients must participate in at least one supervised class a week and exercise at home four more times per week.
•	A lecture series helps patients and their families better understand heart disease and the rehabilitation process. Presentations cover topics related to coronary heart disease, exercise physiology, risk factors, nutrition and psychosocial issues.
•	Risk factor intervention.
•	The program is offered on an outreach basis to people who live outside of the Greater Toronto Area and who are unable to regularly attend supervised exercise classes.

Admission Criteria:

Diagnosis of myocardial infarction, coronary artery bypass surgery, angioplasty, stable angina pectoris, two or more documented classical risk factors for coronary heart disease, stable chronic heart failure, peripheral vascular disease, diabetes mellitus (type II), heart transplantation, valvular heart disease.

Diabetes Exercise and Healthy Lifestyle Service

Type of service:	Outpatient
Length of program:	6 months
Referral required:	Physician or other Health Care Professional

As part of the Cardiac Rehabilitation and Secondary Prevention Program, the Diabetes Exercise and Healthy Lifestyle Service helps people with diabetes lower their risk of developing cardiovascular disease. It is estimated that 80% of individuals with diabetes will die as a result of cardiovascular disease.

A team of physicians, exercise specialists, dieticians, social workers and psychologists help adults living with diabetes to improve their strength, fitness, glycemic control and overall quality of life.

Service Highlights:

Cardiopulmonary assessments upon admission and discharge
Twice weekly supervised exercise classes including personalized resistance and aerobic training
Weight management support group
Individual and group nutritional counseling
Individualized risk factor profile
One-on-one counselling with a social worker or psychologist (optional)

The Diabetes, Exercise and Healthy Lifestyle Service accepts up to 250 patients per year.

Admission criteria:

Diagnosis of diabetes mellitus (Type I or Type II)

For more information about the Diabetes, Exercise and Healthy Lifestyle Service, call 416-597-3422, ext. 5200. To refer a patient, please print our referral form and fax it to 416-425-0301.

last update: February 27, 2003