Components of Cardiac Rehabilitation

The components of cardiac rehabilitation analyzed in the guideline include exercise training; education, counseling, and behavioral interventions; and organizational issues, including consideration of alternative approaches to the delivery of cardiac rehabilitative care (to be discussed subsequently). Highlighted by the guideline is the effectiveness of multifactorial cardiac rehabilitation services, integrated in a comprehensive approach.

The physiologic parameters targeted by cardiac rehabilitation interventions include an improvement in exercise tolerance and in exercise habits; optimization of coronary risk factors, including improvement in lipid and lipoprotein profiles, body weight, blood glucose levels and blood pressure levels, and cessation of smoking. There should be attention to the emotional responses to living with heart disease, specifically reduction of stress and anxiety and lessening of depression. An essential goal, particularly for elderly patients, is functional independence. Return to appropriate and satisfactory occupation is thought to benefit both patients and society.

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