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A lorry driver with chest pain
Published in Tim French, Terry Wardle, The Problem-Based Learning Workbook, 2022
Cardiac rehabilitation provides a safe, controlled programme to improve cardiovascular fitness, promote secondary prevention through diet and lifestyle modification, and reduce the psychological impact of the MI. Rehabilitation programmes have been shown to reduce depression, which many patients and their family members suffer after such sudden lifethreatening events.
Cardiovascular disease
Published in Sally Robinson, Priorities for Health Promotion and Public Health, 2021
Cardiac rehabilitation means: The coordinated sum of activities required to influence favourably the underlying cause of cardiovascular disease, as well as to provide the best possible physical, mental and social conditions, so that the patients may, by their own efforts, preserve or resume optimal functioning in their community and through improved health behaviour, slow or reverse progression of disease.(BACPR, 2017 p.1)
Short-term rehabilitation after an acute coronary event
Published in K Sarat Chandra, AJ Swamy, Acute Coronary Syndromes, 2020
Manish Bansal, Rajeev Agarwala
Cardiac rehabilitation is generally offered as an outpatient programme of 8–24-weeks duration, depending on the underlying illness and the patient requirements. Following are the key components of a structured cardiac rehabilitation programme for patients recovering from an ACS: Risk assessment and determining the need for further cardiac intervention (for complete revascularisation)Pharmacological intervention for secondary preventionPhysical activity counselling, exercise training and sexual rehabilitationOther lifestyle changes, psychosocial counselling
Effects of interval training versus continuous training on coronary artery disease: an updated meta-analysis of randomized controlled trials
Published in Physiotherapy Theory and Practice, 2021
Coronary artery disease (CAD) is the main cause of death worldwide (Conraads et al., 2015), with an estimated mortality rate of 1.8 million deaths/year (Jaureguizar et al., 2016). Exercise training-based cardiac rehabilitation is a safe intervention to improve aerobic exercise capacity, metabolic parameters, muscle strength, quality of life, and survival in patients with CAD (Mezzani et al., 2013; Wienbergen and Hambrecht, 2013). Previous studies found an obvious improvement in peak exercise uptake oxygen (peak VO2), an important survival prognostic indicator for CAD (Pattyn et al., 2014; Van De Veire, Van Laethem, De Buyzere, and De Sutter, 2009), due to exercise training in patients with CAD (van Tol et al., 2006). Additionally, heart rate recovery (HRR) is a marker of vagal tone that is also associated with survival. A previous study has reported that exercise training results in a faster HRR in patients with heart failure. Thus, HRR is an easily acquired response that may be useful for evaluating patient outcomes in cardiac rehabilitation (Myers et al., 2007).
Canadian consensus recommendations for a research agenda in pulmonary rehabilitation post-acute exacerbation of COPD: A meeting report
Published in Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 2021
T. Janaudis-Ferreira, S.L. Harrison, S. Ahmed, J. Bourbeau, D. Goodridge, H.M. Vasiliadis, L. Tracey, P. Camp, F. Campbell, G. Dechman, R. Goldstein, S. Levitz, G. Moullec, M. Sedeno, J. Spahija, M. Stickland, J. Wald
There were also discussions about the approach used in cardiac rehabilitation and whether their service model could be adopted in PR. In cardiac rehabilitation, patients are typically offered a 4-phase rehabilitation program consisting of education and exercise to help them regain function and independence after a cardiac event.51 The first phase (acute) of the cardiac rehabilitation program may start at the hospital while the other three (the subacute) occur in an outpatient setting or at home.51 As patients move through the phases, the type and intensity of exercise is progressed. It was noted that cardiac patients are approached to participate in a rehabilitation program while they are in hospital, which may not be ideal for those with COPD if they are very symptomatic.47,50 In addition, to date, there is no evidence that adopting this phased cardiac rehabilitation model improves engagement, attendance or outcomes in PR.
Is Cardiac Rehabilitation Equally Effective in Improving Dietary Intake in All Patients with Ischemic Heart Disease?
Published in Journal of the American College of Nutrition, 2021
Ulla Bach Laursen, Martin Nygård Johansen, Albert Marni Joensen, Kim Overvad, Mogens Lytken Larsen
Differences in diet obviously exist in the general population (29–31, 36, 39). For instance, compared to people with a lower educational attainment and people living alone, people with a high educational attainment and people living with others have a healthier diet. In patients suffering from myocardial infarction, previous studies have found that patients with high educational attainment were more likely to improve their health behavior than patients with lower educational attainment (21, 40). A cardiac rehabilitation program may have impact on this tendency and may improve dietary intake in all patients. In our study, it seemed that participants with the least healthy diet at T1 benefit more from the described rehabilitation program more than those with a more healthy diet including unmarried participants and participants who were living alone. However, unemployed and retired participants did not improve their intake as much as employed participants. More studies are needed to specify the possible differences in dietary change, and knowledge is needed on what interventions in cardiac rehabilitation might best suit specific patient groups in which different approaches may be beneficial.