Table 2.
Referral information and reasons to terminate training during mobilisation, and final outcome criteria (phase I)
| Referral information | Reasons to terminate training | Outcome criteriaa |
|---|---|---|
| Reason for referral | Angina | Able to function at a sufficient ADL level (including e.g. walking and self-care, with assistance if necessary) |
| Date of hospital admission | Impaired pump function (shortness of breath disproportionate to exertion, abnormal fatigue disproportionate to exertion, increased peripheral / central oedema) | At least some knowledge of their CHF, and if applicable about the treatment such as surgery (sternotomy, wound recovery etc.) |
| Diagnosis | Arrhythmias (high heart rate not in proportion to exertion, irregular heartbeat, changes in known arrhythmias) | The patient knows how to cope with their CHF symptoms and is able to increase exercise intensity and expand their ADL activities |
| Date of event or treatment | Abnormal increase or decrease of blood pressure | |
| Medication use (type and dosage regime) | Fainting | |
| Complications and/ or comorbidities | Dizziness | |
| Further diagnostic information deemed relevant by the cardiologist | Vegetative reactions (excessive perspiring, pallor) |
ADL activities of daily living, CHF chronic heart failure
aIn some exceptional cases, patients may not have met these goals at the time of discharge from hospital, due to psychosomatic, social or severe physical problems (e.g. comorbidities). These patients may be referred for clinical admission to a specialised multidisciplinary CR centre for more intensive care