Cardiac & Pulmonary Rehabilitation Center, Synphaet Ramintra Hospital

Customized safe fitness designs and cardiorespiratory rehabilitation using international technology under a team of specialized experts.

Confidently restore your body’s fitness… because cardiorespiratory rehabilitation must be safe and proper.

Chronic heart and lung diseases do not end with just medical therapy, balloon angioplasty, surgery, or acute treatment. “Cardiac and pulmonary rehabilitation” is another crucial step that helps patients return to their daily lives safely, strongly, and reduces the chance of recurrence in the long term.

Many patients still suffer from fatigue, shortness of breath, exhaustion, or lack confidence in exercising after treatment. Without proper evaluation and rehabilitation, this can impact their quality of life and increase the risk of readmission.

The Cardiac & Pulmonary Rehabilitation Center at Synphaet Ramintra Hospital provides comprehensive care, ranging from cardiorespiratory fitness assessments, personalized exercise plans, and post-illness rehabilitation to behavior modification to reduce risk factors. Our multidisciplinary team includes cardiologists, rehabilitation physicians, physical therapists, sports scientists, specialized nurses, and nutritionists, equipped with international-standard tools such as CPET (Cardiopulmonary Exercise Test), VO₂ Max Testing, Exercise Stress Test, and vital sign monitoring systems during exercise. This ensures patients recover safely, efficiently, and regain their confidence in life.

Who should receive care at the Cardiac & Pulmonary Rehabilitation Center?

Our center is ready to care for and deliver maximum benefits to patients with the following diseases or health goals:

• All groups of heart patients: Patients with coronary artery disease, heart valve disease, cardiomyopathy, or cardiac arrhythmia.
• Lung patients: Chronic Obstructive Pulmonary Disease (COPD), asthma, pulmonary fibrosis, and patients recovering from severe pneumonia.
• Post-procedure and post-surgery patients: Those who have undergone coronary angioplasty (balloon/stent), valve surgery, coronary artery bypass graft (CABG), or thoracic and lung surgery.
• Heart failure patients: For pre-operative fitness evaluation or prognosis.
• Those with unexplained fatigue: Individuals seeking differential diagnosis to identify the cause of fatigue or breathing difficulties.
• Those needing fitness evaluation: Individuals seeking heart screening, pre-operative fitness evaluation, athletes or those wanting in-depth physical capacity measurement, and individuals with underlying medical conditions wishing to plan a safe exercise program.

Innovative Diagnostics and Fitness Level Measurement (CPET / VO2MAX)

We offer advanced technology to measure physical fitness and oxygen consumption (VO₂ Max) through the Cardiopulmonary Exercise Test (CPET), which tests heart and lung capacity during maximal exercise. The evaluation is divided into two key components:

1. Exercise & Electrocardiogram Evaluation (Exercise Stress Test – EST): Patients perform exercise on a treadmill or upright bicycle suited to their physical condition to analyze their electrocardiogram (ECG) during exertion. If any abnormalities occur, the graph displays them to the physician in real time.
2. Respiratory & Gas Exchange Evaluation (Lung Function Test & Gas Exchange Analysis): A face mask covering the nose and mouth is attached to record breathing data during exercise. The system analyzes the oxygen intake, carbon dioxide output, and pressure inside the lungs, providing valuable data for both medical and sports science purposes.

Tools and Guidelines for Cardiac & Pulmonary Rehabilitation

The rehabilitation process for each patient or disease group varies in detail. The physician will determine the plan based on the stage and severity of the disease to ensure a quick and safe recovery.

Cardiac Rehabilitation Program

• Exercise under the supervision of a team of physicians and physical therapists.
• Continuous monitoring of ECG and vital signs during exercise.
• Safely improve cardiac performance.
• Reduce the chance of recurrent heart disease.

Pulmonary Rehabilitation Program

• Breathing training.
• Muscle strengthening.
• Reduce fatigue.
• Increase capability to perform daily activities.

Behavior Modification Program

• Nutritional advice.
• Weight control.
• Smoking cessation.
• Stress management.
• Long-term exercise planning.

Continuous Follow-up

• Periodic fitness assessments.
• Tailoring the program as appropriate.
• Monitoring treatment outcomes and reducing the risk of recurrence.

Why choose the Cardiac & Pulmonary Rehabilitation Center at Synphaet Ramintra Hospital?

• ✔ Multidisciplinary Team: Jointly cared for by cardiologists, rehabilitation physicians, physical therapists, nurses, nutritionists, and sports scientists.
• ✔ International-Standard Assessment with CPET: In-depth measurement of gas exchange and VO₂ Max to identify the true limitations of the heart and lungs.
• ✔ Maximum Safety with Monitoring and Specialist Team: Exercise rehabilitation under the supervision of a specialized medical team, supported by real-time ECG monitoring.
• ✔ Personalized Programs: Whether you are a post-CABG patient, a heart failure patient, or an athlete, the program is tailored to your stage and severity of disease.
• ✔ Education and Behavior Modification to Prevent Recurrence: We focus on comprehensive education so that patients understand their conditions and can apply changes sustainably in their real lives.

Q&A Frequently Asked Questions

Q: What is CPET?
A: It is a Cardiopulmonary Exercise Test that evaluates cardiorespiratory function during exercise to help plan appropriate treatments and exercise programs.

Q: How does CPET differ from a standard Exercise Stress Test (EST/treadmill test)?
A: A standard treadmill test (EST) focuses primarily on changes in the electrocardiogram to detect coronary artery stenosis. However, CPET involves wearing a mask to measure respiration and the exchange of oxygen and carbon dioxide. This allows doctors to evaluate the cooperative function of the heart, lungs, and muscles comprehensively. It measures fitness (VO₂ Max) and distinguishes whether fatigue is caused by heart disease, lung disease, or poor fitness.

Q: Does rehabilitation require intense exercise?
A: No. The program starts at a level suitable for each patient and gradually increases under the close supervision of experts.

Q: How long does the rehabilitation take?
A: Generally, the program takes about 6–12 weeks, but it can be adjusted based on the disease, severity, and goals of each patient.

Q: I recently underwent coronary artery bypass graft (CABG). Is it safe to exercise at the rehabilitation center?
A: Yes, it is safe and highly recommended. Rehabilitation at our center does not start with intense exercise immediately. The doctor will use the results of your fitness assessment to calculate a safe exercise intensity for you. Throughout the session, specialized staff will guide you and monitor your ECG and vital signs in real time. Proper rehabilitation helps wounds and the heart recover faster than resting alone.

Q: How is the CPET/VO₂ Max fitness test beneficial to normal individuals or athletes who do not have heart disease?
A: It is highly beneficial for health enthusiasts and athletes. CPET helps check fitness levels and screens for hidden heart diseases before participating in competitions or intense exercises. Furthermore, the VO₂ Max and metabolic values obtained can help sports scientists or trainers design training programs to safely and accurately optimize athletic performance.