Cardiac rehabilitation

2019 ◽  
pp. 213-232
Author(s):  
Manoj Sivan ◽  
Margaret Phillips ◽  
Ian Baguley ◽  
Melissa Nott
Keyword(s):  
Risk Factor ◽  
Cardiac Rehabilitation ◽  
Risk Factor Management ◽  
Risk Factor Modification ◽  
Medical Evaluation ◽  
Core Components ◽  
Evaluation Exercise ◽  
Cardiac Illness ◽  
Definition Of

This chapter covers cardiac rehabilitation and secondary prevention, including the long-term programme of medical evaluation, exercise, risk factor modification, education, and counselling to limit the physiological and psychological effects of cardiac illness. The chapter opens with a definition of cardiac rehabilitation. The epidemiology of cardiac disease is then covered, and core components of a cardiac rehabilitation programme are described. Assessment, education, risk factor management, and risk factor stratification are all covered, and the benefits and risks involved in cardiac rehabilitation are discussed. The chapter ends with a discussion about maintaining long-term behaviour change in those patients referred to cardiac rehabilitation and prevention.

scholarly journals Current status and future directions of cardiac rehabilitation program: a review of the literature

2019 ◽  
Vol 2 (2) ◽  
pp. 59-68
Author(s):  
Sutantri Sutantri
Keyword(s):  
Cardiac Rehabilitation ◽  
Good Health ◽  
Rehabilitation Program ◽  
Current Status ◽  
Participation Rates ◽  
Risk Factor Management ◽  
Research Areas ◽  
The Usa ◽  
Cardiac Illness ◽  
New Research

One of the effective treatments for patients recovering from acute cardiac illness or surgery is cardiac rehabilitation (CR). CR has proven to be effective to reduce mortality, morbidity, and also to improve the quality of life. The purpose of this review is to present the current status of CR program worldwide as well as to identify a potential approach for further investigation. Literature searching of electronic databases was conducted in several databases including CINAHL, MEDLINE, PsycINFO, and EMBASE, and Google Scholar. CR aims to restore patients with CVD to a state of good health. Each country has different approach in the provision and organization of CR as well as the allocation of resources, which depends on their health policies and politics. The indications for CR also differ between countries, but traditionally CR has been used following acute myocardial infarction (MI). CR programs have been divided into three phases of progression. Hospital-based or supervised site-based programs have been known as the most common model of CR in most countries. The core components of CR include patient assessment, nutritional counselling, exercise training, physical activity counselling, weight management, tobacco cessation, aggressive coronary risk-factor management, and psychosocial management. Despite the apparent benefits of CR in patients with CVD, these programs remain largely underused. The participation rates in the USA, Australia, and Europe are low, estimated at 10-30%. New research areas that explore new ways of CR delivery to improve referral and participation rates are essential.

Cardiac rehabilitation and exercise training

ESC CardioMed ◽  
2018 ◽  
pp. 882-892
Author(s):  
Alessandro Mezzani ◽  
Stephan Gielen
Keyword(s):  
Cardiovascular Disease ◽  
Exercise Training ◽  
Cardiac Rehabilitation ◽  
National Guidelines ◽  
Risk Factor Modification ◽  
The Core ◽  
Prevention Programmes ◽  
Core Components ◽  
Guidelines And Standards ◽  
Factor Modification

Secondary prevention programmes are delivered as cardiac rehabilitation or other prevention programmes for all patients with cardiovascular disease or at high risk for cardiovascular disease. Cardiac rehabilitation is defined as a comprehensive programme involving exercise training, risk factor modification, education, and psychological support. The core components and goals of cardiac rehabilitation have been standardized, but the structure, length, and type of programme offered differs widely by country, affected by national guidelines and standards, legislation, and payment factors.

scholarly journals Long-Term Survival after CABG in Diabetics with Aggressive Risk Factor Management

2014 ◽  
Vol 04 (12) ◽  
pp. 217-222 ◽  
Author(s):  
Kendal Endicott ◽  
Conor Hynes ◽  
Dominic Emerson ◽  
Peter Kokkinos ◽  
Michael Greenberg ◽  
...  
Keyword(s):  
Risk Factor ◽  
Term Survival ◽  
Long Term Survival ◽  
Risk Factor Management

scholarly journals Long-term Clinical and Cost Outcomes of a Pharmacist-managed Risk Factor Management Clinic in Singapore: An Observational Study

2017 ◽  
Vol 39 (12) ◽  
pp. 2355-2365 ◽  
Author(s):  
She Hui Tan ◽  
Kwee Keng Kng ◽  
Sze Mian Lim ◽  
Alexandre Chan ◽  
Jason Kwok Kong Loh ◽  
...  
Keyword(s):  
Risk Factor ◽  
Observational Study ◽  
Risk Factor Management ◽  
Cost Outcomes

scholarly journals Determinants of coronary artery disease risk factor management across three world regions

Heart Asia ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. e011112
Author(s):  
Min Zhao ◽  
Ian Graham ◽  
Marie Therese Cooney ◽  
Diederick E Grobbee ◽  
Ilonca Vaartjes ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Middle East ◽  
Cardiac Rehabilitation ◽  
Cardiovascular Health ◽  
Disease Risk ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Risk Factor Management ◽  
Logistic Regression Models

BackgroundThe SUrvey of Risk Factors (SURF) indicated poor control of risk factors in subjects with established coronary heart disease (CHD). The present study aimed to investigate determinants of risk factor management in patients with CHD.Methods and resultsSURF recruited 9987 consecutive patients with CHD from Europe, Asia and the Middle East between 2012 and 2013. Risk factor management was summarised as a Cardiovascular Health Index Score (CHIS) based on six risk factor targets (non-smoker/ex-smoker, body mass index <30, adequate exercise, controlled blood pressure, controlled low-density lipoprotein and controlled glucose). Logistic regression models assessed the associations between determinants (age, sex, family history, cardiac rehabilitation, previous hospital admission and diabetes) and achievement of moderate CHIS (≥3 risk factors controlled). The results are presented as OR with corresponding 95% CI. A moderate CHIS was less likely to be reached by women (OR 0.90, 95% CI 0.69 to 1.00), those aged <55 years old (OR 0.62, 95% CI 0.53 to 0.76) and those with diabetes (OR 0.41, 95% CI 0.37 to 0.46). Attendance in cardiac rehabilitation was associated with better CHIS achievements (OR 1.62, 95% CI 1.42 to 1.87). Younger Asian and European patients had poorer risk factor management, whereas for patients from the Middle East age was not significantly associated with risk factor management. The availability and applicability of cardiac rehabilitation varied by region.ConclusionsOverall, risk factor management was poorer in women, those younger than 55 years old, those with diabetes and those who did not participate in a cardiac rehabilitation. Determinants of cardiovascular risk factor management differed by region.

Telestroke: Long-term risk factor management – part II

2013 ◽  
Vol 2 (2) ◽  
pp. 57-67 ◽  
Author(s):  
J. Joubert ◽  
A. Christie ◽  
J. Laing ◽  
B. Wilks ◽  
I. Barnes ◽  
...  
Keyword(s):  
Risk Factor ◽  
Risk Factor Management
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