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Cardiology




                     U   H  e  al     h t   Car        o i d o  o l  gy                            For Heart Patients,


                      a  t   F     r o  t L a ude        d rda   e l                      Yoga Can Be a Life Changer

                                                                                   At the Cardiopulmonary Rehabili tation
                                                                                 Program at UHealth—the University of
                                                                                 Miami Health System, program partici-
                 C    e l e  br  s e t a  Ame ri  a c  n  H e a a rt  M o  h t n  pants learn physical therapy exercises,
                                                                                 Pilates, mindful breathing, meditation,
                                                                                 and are encouraged to participate in yoga
                                                                                 classes at UHealth or other locations in
                                                                                 South Florida.
                                                                                   “When you have maximized everything
                                                                                 you can do medically, integrative therapies
                                                                                 like yoga, meditation, and breathing exer-
                                                                                 cises accomplish things regular medicine
                                                                                 cannot. The more challenging the patient,   According to Dr. Gempel, many patients
                                                                                 the more they benefit from yoga,” says Dr.   aren’t aware that cardiac rehabilitation
                                                                                 Claudia Martinez Bermudez, a clinical and   exists. “Nationally, the average referral rate
                                                                                 interventional cardiologist with the health   is only 25 percent. It is so underutilized,
                                                                                 system.                              though there is evidence that rehabilita-
                                                                                   Patients have found that such exercise   tion causes a 25 percent decrease in all-
                                                                                 activities can lower or regulate blood pres-  cause mortality.” One of the first things Dr.
                                                                                 sure, cholesterol and body weight—some-  Gempel teaches patients is the four pillars
                                                                                 times better than medication.        of rehabilitation:
                                                                                   The stretching, strengthening, breath-  1. Smoking cessation
                                                                                 ing, and meditation involved in yoga have   2. Eating a whole foods, plant-based diet
                                                                                 a powerful healing effect on the body.   3. Exercise
                                                                                 Holding different yoga poses requires a   4. Stress management
                                                                                 mindfulness that relaxes the body’s “fight   “All styles of yoga are beneficial and can
                                                                                 or flight” response — the same response
                   ZAC   H  ARI IAH        Z . P  A C H A  I R A  , H  M.  . D   that restricts blood vessels, increases heart   be made easier or harder to perform, but
                                                                                                                      depending on your situation, some styles
                        Bo  ar d eC     if t r  ie d  in                      arC d  y g  rate and the risk of blood clots.    might be more appropriate. For example,
                                                        d loio
                                                                                   As part of the program, Dr. Martinez   chair yoga is a good option if you have
                                                                                 Bermudez checks each patient’s blood
                 Dr .  Z ac h ar i ah  a dn  h t  e  r a c  di  o l o  g y  e t  a m at  H e  h t l a  wi  h s        poor balance. Bikram and ‘hot’ yoga can
                                                         a U
                                                                                 pressure when they arrive at her office,   reduce your blood pressure as you sweat,
                                 nd
                  o y  u  a  h a p p y  an  h e al  h t  y  A m  i r e  ca n  H ear  Mo  . h t n  We  when it is still elevated. She then asks   so patients with low blood pressure should
                                                         a t
                                                                                 them to take several deep breaths. “When
                 h  p l e  e k  e p  y o  r u h e ar t  h e al  h t  y  b y  o r p  n i d i v n g  u c  tti n g  e d g e  I take their blood pressure again, 99 per-  be cautious and stay hydrated. If you have
                                                                                                                      had heart failure or an abdominal aortic
                  o c   t l u s n  at  e v i  r e s v r  i ce s  an d  s ta te  of  h t  e ar t  a i d  g n  c i t s o  cent of the time, it has dropped. That’s   aneurysm, avoid inversion poses because
                                                                                 how I convince them of the importance of   they increase blood flow back to the
                       l o i d r a c  og y  te  ti s n  i h  ch  n i  cl u d e  h c e  c o  ar  o i d d  a r g  m,  h  r e t l o  deep breathing. Along with meditation,   heart,” says Dr. Gempel.
                                n wg
                 m o     , r o t i n  c ar o  l u c s a  ar  s s e r t s  te  ti s  n  , , g  a n d  n u cl e  r a  this overlaps in a positive way to help   Physical benefits aside, the psychosocial
                                o i d v
                                                                                 lower stress hormones, which in addition   support found in yoga classes can alleviate
                  t s  re  s s  te  ti s  n  . g                                 to lowering blood pressure, also decreas-  depression, a common ailment among
                                                                                 es "https://news.umiamihealth.org/en/whe  heart patients. “As patients exercise, they
                                                                                 n-your-heart-is-trying-to-tell-you-some-  feel better, and their whole psychology
                 Dr .  Z  c a  h  a i r a  h is  b o  - d r a  cer  i f i t  ed  i nt  r e e  nal  m ed  ci i  n e  thing/" \t "_blank"arrhythmia.”   changes,” says Dr. Martinez Bermudez.
                                 i a
                 an d    d r a c  io lo g y hyp  a i c i s  n,  w h o  sp  c e  ia  s e z liz  in  c lin ic  l a      That simple yet profound change makes it
                                                                                 Saying “yes” to yoga                 easier to deal with whatever life presents –
                     d r a c  io lo g  , y  c ar acid  c at h  z i r e t e  at  o i  , n  an d d  e v r e t n i  o i t n  n al  Dr. Martinez Bermudez and Dr. Sabine   from health issues to traffic jams.
                        o l o i d r a c  . y g  He h as  p  r o f r e  m e d  v o  er  3  0 , 5,  00  h e ar t  Gempel, the program’s physical thera-
                                                                                 pist, encourage heart patients interested in    To learn more about UHealth’s
                                                         e c o r p p
                                 s
                    h t a c   o i t a z i r e t e  s n and  e v r e t n i  o i t n  n al  e d  . s e r u  He  h as  yoga and cardiac rehabilitation to start a   Cardiopulmonary Rehabilitation Program,
                 al  o s  - o c  au  h t  r o de r  l a r e v e s  e i c s  c i f i t n  p a p  , s r e  an d  conversation with their doctor.    call (305) 689-1141.
                                v iar
                 p    ci i t r a  p  e t a  d  n i v  o  s u  c lin ic  . s l a i r t l a
                                                                                        Shipley Cardiothoracic Center
                                a p
                 To  s ch e d  e l u  an ap  t n i o  me  , t n  ca  l l  954 - 772 2200.-2  Expansion Builds on Revolutionary
                 N e w  L oc  t a  ion                                                  Approach to Heart, Lung Care

                 U H e al  h t  C  ol i d r a  og y  at  F  t r o  L au d  d r e  e l a









                 4800  N          02  th  Ter  St e  20 1                          Shipley Cardiothoracic Center has officially opened its doors, ushering in a new phase
                                e ,r


                           E
                                                                                 for cardiothoracic care in Southwest Florida. The center, located at HealthPark Medical
                 F  t r o  La u d  d r e  e l a ,                             FL  33308
                                                                                 Center, is an innovative approach to the surgical treatment of heart and lung diseases
                                                                                 with an emphasis on innovation, education and research. Through cutting-edge treat-
                                                                                 ment and dedication to patient care, the Shipley Center has made a difference in the lives
                                                                                 of thousands of patients. The 13,290 square-foot Shipley Center expansion establishes an
                                                                                 innovation hub focused on patient care optimization, research, and learning opportuni-
                                                                                 ties for surgical clinical teams worldwide. The Shipley Center aims to improve patient
                                                                                 outcomes through an in-depth understanding of individual patient risk factors, co-mor-
                             UH  a e htl a  Sy  e t s  m  c .  om                bidities and personal health needs before surgery. The center will also include a compo-
                                                                                 nent of health education to help patients understand how to stay healthy and potentially
                                                                                 avoid surgery. The center was made possible by an initial $2.5 million gift from Shipley
                                                                                 Foundation, Inc., headed by Richard C. Shipley of Sanibel, and additional funds were
                                                                                 raised through community donations. The expansion also includes an educational con-
                                                                                 ference center for surgeons and health care professionals that come from across the coun-
                                                                                 try to train with our team. This hub provides live-case teaching, simulators and destina-
                                                                                 tion and distance learning opportunities for health care professionals.
         24                       February 2019                                                          southfloridahospitalnews.com                                                                       South Florida Hospital News
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