克卢捷在2000年实施了冠状动脉搭桥术,后在2003年植入了一个心脏除颤器,三年前他又安了一个心脏起搏器。自那以后,他一直没有住过院,他和埃兹医生将这一成绩归功于定期的体育锻炼。直到不久前,不吸烟的克卢捷还一直定期组织在佛蒙特乡村骑自行车,每次骑20至40英里。然而,去年他出现了心力衰竭症状,他说他只能骑三英里了。他希望在今年夏天实现每周骑行五至10英里的目标。此外,他还坚持进行心脏康复治疗,目前是以每小时三英里的速度在跑步机上跑20分钟,并使用力量训练器械进行锻炼,频率为每周两到三次。在其他日子里,他会散一英里的步。
'The heart is a muscle,' he said. 'If you don't exercise it and keep it in reasonable shape then it's going to deteriorate and give you problems. That's why I keep going back.'
克卢捷说:“心脏是一团肌肉,如果你不锻炼它,使它一直处于良好的状况,接下来它就会变衰弱,给你带来麻烦。那就是我一直参加锻炼的原因。”
The Medicare decision extends coverage to patients whose heart-pumping function is compromised to a specific level and who have certain heart-failure symptoms despite being on an optimal drug therapy for at least six weeks. It offers one course of 36 sessions for up to 36 weeks, though two- or three-times-a-week sessions are optimal. Patients could apply for a second course of rehab, but generally, they would have to pay out of pocket after completing the first course.
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