"Promoting the Cardiac Rehabilitation Programs of Tohoku University Hospital to the World" Report on the Visit of the Cardiac Rehabilitation Team to TEDA International Cardiovascular Hospital

In the morning of the second day, Assistant Professor Yoshiko Sakata gave a speech, titled "Acute Phase Rehabilitation Program after Cardiovascular Surgery," outlining the evidence of acute phase rehabilitation after cardiovascular surgery and the rehabilitation schedule. Takaaki Kakihana (rehabilitation medicine, physical therapist), enrolled in the doctoral program in this field (Graduate School of Medicine, Disability Sciences), spoke about rehabilitation evaluation and physical therapy before cardiovascular surgery and explained what should be done before surgery to prevent postoperative complications. In the afternoon, we first gave instructions on practical skills for preoperative rehabilitation interventions, such as how to evaluate muscle strength and exercise tolerance at bed side and respiration training aimed at preventing respiratory complications. We then exercised the cardio pulmonary exercise test in the cardiac rehabilitation room in the hospital ward and confirmed the test execution method and measurement items explained on the first day as well as the points to note regarding the execution of the test.

In the morning of the third day, Masashi Takeuchi (rehabilitation medicine, physical therapist), who joined the master course of Graduate School of Medicine, Medical Sciences this October, delivered a speech on rehabilitation evaluation and physical therapy in the acute phase after cardiovascular surgery. After that, Dr. Qi Guo (Tianjin Medical University assistant professor) and Dr. Pengyu Cao (Jilin University assistant professor), both of whom received a doctoral degree by studying at the Department of Internal Medicine and Rehabilitation Science, spoke about the current situation of cardiac rehabilitation in China. In the afternoon, we gave instructions on practical skills for postoperative ambulation training. We first did practice using a staff member as a model and then went to the ICU where we gave instructions on practical skills using a patient who had undergone coronary artery bypass surgery. Instructions were given not only on skills for patients but also on minute details such as the points to note about vital signs and changes on the electrocardiogram and the placement of beds and lines at the time of rehabilitation.

At the meeting with Director Liu, it was decided to hold a symposium by inviting cardiac rehabilitation specialists in the world and a skill conference focused on practical skill instructions once a year. The Binhai area where TEDA International Cardiovascular Hospital is located is a so-called special healthcare zone in China, and enormous investments have been made in medical services in this area. TEDA International Cardiovascular Hospital is playing a central part of the project. This hospital is one of the largest cardiovascular hospitals in Asia with 600 hospital beds, 80 ICU beds, 40 CCU beds, 16 operating rooms and five catheter rooms. They perform 1500 to 2000 direct intracardiac surgical operations annually. Furthermore, there is a plan afoot to establish a hospital specializing in cardiovascular rehabilitation with over 300 hospital beds several years from now. Therefore, the hospital will undoubtedly become a model for cardiac rehabilitation in China. As a result, it is expected that the high-quality cardiac rehabilitation programs of Tohoku University Hospital that we exercise daily will spread around the world. During the visit, I was able to witness students who completed the master course of the Graduate School of Medicine doing an excellent job in their home country by using the knowledge and experience they had gained in Japan. This makes me want to put more effort into the development of younger people.

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