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Chronic Diseases Management


Chronic Diseases Management

What is the Cardiac Rehabilitation Programme?

The Cardiac Rehabilitation Programme offered by Singapore Sport and Exercise Medicine Centre @ CGH (SSMC@CGH) refers to a specialized, individually-tailored exercise programme for patients with cardiovascular condition in Phase II rehabilitation. This patient group includes people who have myocardial infarct, coronary artery bypass graft (CABG), stable angina pectoris, and other cardiac conditions.

The programme includes warm-up, endurance aerobic activity, cool-down, and for identified patients, low resistance/high repetition muscle toning activities.

Why Might I need a Cardiac Rehabilitation Programme?

Most of us are unsure of the right intensity we should be exercising at, especially after the diagnosis of a heart problem. Training at a randomly selected intensity can lead to under-training or over-training, which can be detrimental to our health.

Cardiac rehabilitation allows the physician and physiotherapist to assess the patient prior to prescribing the maximal safe exercises according to the patient’s cardiovascular fitness. This will be done within the safe cardiovascular parameters of the patient while ensuring that the patient is progressing within their limits.

How can I benefit from the Cardiac Rehabilitation Programme?

Before attending the Cardiac Rehabilitation Programme, patients will undergo a treadmill exercise test to determine their fitness level. The results will be used by the physiotherapist to prescribe the appropriate mode, duration and intensity of exercise for the patient.

Without an objective measurement of our fitness level, most of us are unsure of the right intensity we should be training at. Training at a randomly selected intensity levels can lead to under-training or over-training.

Are there other similar programmes?

No, currently the cardiac rehabilitation programme is the only programme that prescribes appropriate exercises for cardiac patients.

Who can undergo the cardiac rehabilitation programme?

The programme is suitable for patients with the following cardiac conditions:

  • Myocardial infarct
  • Have Coronary Artery Bypass Grafting (CABG)
  • Stable Angina Pectoris
  • Documented Coronary Artery Disease
  • Pacemakers; especially associated with one or more of the above diagnosis
  • Congestive Heart Failure
  • Cardiomyopathy
  • Cardiac Transplantation / Cardiomyoplasty
  • Interventional Procedures: PTCA / Stent insertion
  • Valve Repair / Replacement / Valvuloplasty
  • Moderate Valvular Heart Disease

In the event where the programme is unsuitable for certain cardiac conditions, you may need to consult a cardiologist before undergoing the programme.

How will I feel during the exercise?

During the cardiac rehabilitation programme, you will exercise on machines such as the treadmill, leg cycle and arm ergometer. During the exercises, you will be monitored for your heart rate, blood pressure, and rate of perceived exertion. During the exercise, if you feel any symptoms of breathlessness, pain or giddiness, please inform the physiotherapist or sports trainer immediately. They may ask you to decrease the intensity of exercise or stop and rest.

What are the risks?

As with all exercises, there are some risks involved. However, measures have been taken to minimise the risks of exercises in this supervised hospital setting.

How do I sign up for the programme?

The programme is offered through the referral of cardiologists from Changi General Hospital only. Please consult our cardiologists for assessment first.

If you have medical conditions such as hypertension or diabetes mellitus or a sedentary lifestyle, you may likely benefit from physical activity.

Exercise is considered an important adjunct to the prescription of drugs for certain medical conditions.

Research has proven that exercise, at the correct intensity and duration, not only improves the quality of life – it also decreases the incidence of disease, chronic health conditions and obesity.

Exercise Is Medicine Singapore (EIMS) is a programme spearheaded by Singapore Sport and Exercise Medicine Centre @ CGH (SSMC@CGH) to make physical activity and exercise a standard part of preventing and treating diseases.

It aims to train and equip healthcare and fitness professionals with the necessary skills, tools and resources to prescribe exercise in the right dose to prevent and treat over 40 common chronic health conditions for patients and the public.

EIMS draws principles from the Exercise is Medicine™ global initiative by the American College of Sports Medicine (ACSM).

Visit our EIMS certified physicians at SSMC@CGH if you are interested to start an exercise programme to help prevent, treat and manage your chronic health conditions.

EIMS Pre-Participation Screening FAQs

  1. Who is this screening for?
  2. This screening is for anyone who is interested in starting an exercise routine, and wishes to rule out major underlying health risks before doing so. The screening will provide an indication of the individual’s level of health risk, and the subsequent exercise prescription will provide the recommended physical activity regimen to manage the risks.

  3. Why is this screening helpful?
  4. The screening helps to identify underlying chronic health conditions and their risk factors, so that appropriate action can be taken in a timely manner. With the risk stratification, an appropriate exercise prescription can then be instituted safety.

  5. How to do it?
  6. Start by making an appointment with SSMC@CGH clinic via the CGH Appt Centre at 6850 3333. State that the appointment is for EIM Pre-participation Screening. You will go through a consultation with the doctor to review and determine your health status and exercise levels. Please bring along your identity card on your appointment date.

EIMS vs Athlete Pre-Participation Screening Package Components

The EIMS Screening Package is for anyone who is interested in starting an exercise routine but is unsure of their health status. The screening will provide an indication of the individual’s level of health risk, and the subsequent exercise prescription will provide the recommended physical activity regimen to manage the risks. The screening protocol is based on recommendations by the American Council of Sports Medicine (ACSM) and Exercise is Medicine (EIM) global.

The Athlete Screening Packages are for anyone who participates or intends to participate in competitive/recreational sports and would like a more thorough battery of tests to identify potential exercise risks, so that appropriate measures can be promptly taken. Although relatively thorough, the screening packages will not be able to rule out absolutely all underlying risks.

Package Type


Athlete ​ ​
Screening Components
Young Athlete (Classic)
Athlete (Classic)
All Athletes (Deluxe)
Consultation (1st Visit)
Consultation(Repeat Visit)
Lipid Profile
Renal Panel I (Urea, Na, K, Cl, Creatinine, Glucose)
(Glucose Only)
Liver Panel I
Resting ECG
2D Echo (Full)
Chest X-Ray
Stress Test (Treadmill)
Full Blood Count
Urine FEME


Kindly note that if participants are found to require further testing after the physical examination, the tests will be charged separately.