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By Joep Perk, Peter Mathes, Helmut Gohlke, Catherine Monpère, Irene Hellemans, Hannah McGee, Philippe Sellier, Hugo Saner

The target of the Textbook of Cardiovascular Prevention and Rehabilitation is to supply useful counsel for all cardiologists and different overall healthiness team of workers engaged within the administration of cardiac sufferers. The e-book will stick with the concept that of ''seamless care service'', i.e. a streamlined mix of preventive and rehabilitative equipment so as either so as to add years to existence and existence to years. it is going to encompass 8 sections.

Commencing with an introductory part it is going to specialise in instructions, prevention, danger stratification and the proof base of cardiac rehabilitation. within the following 3 sections various types for workout checking out and coaching, dietary counselling and smoking cessation can be provided. The behavioral part comprises health-related caliber of lifestyles and mental matters, sufferer schooling, compliance and adherence to the therapy application. within the social part the go back to paintings, the function of family members, middle foundations and so forth. might be mentioned.

Groups with unique wishes should be highlighted within the 7th part, with a view to deal with teenagers with cardiac ailment, aged, ladies, center failure and cardiac transplantation sufferers, sufferers with ICD or after valve surgical procedure. the ultimate part contains evaluate ideas. caliber coverage and organisational issues i.e. software layout, employees education, security, documentation and a health-economic rate assessment; even nationwide software variations may be debated.

Each part will comprise a brief precis and tables with useful information statements. moreover, all sections might be formatted as to stick with the typical process heart problems, starting up with specialise in basic preventive care and completing with the calls for on rehabilitation of the sufferer with complex disorder, therefore following the ''seamless care'' concept.

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Additional info for Cardiovascular Prevention and Rehabilitation

Example text

Of patients) Relative reduction in all cause mortality Reduction in all cause mortality per 1000 per year 31 trials (24,974) 22 trials (102,476) 3 trials (17,617) 11 trials (18,773) 44 trials (8700) 23% (15–31%) 17% (2–11%) 23% (15–30%) 24% (16–32%) 16% (4–27%) 12 (6–17) 4 (1–6) 4 (2–6) 7 (1–3) 9 (15 to 116) *Exercise-based CR. 6 Taylor et al. (2004) compared the magnitude of all cause mortality reduction with exercise-based CR in more recent trials (1995 and later) to that found in older trials (before 1995) (Figure 2-3).

However, the early systematic reviews of CR have been criticized because the usual care arm included RCTs that are not reflective of current practice. Indeed, it has been argued that the benefits of exercise and psychology-based interventions used in CR would be substantially reduced in the context of current therapy. In response, many rehabilitation specialists argue it is artificial to attempt to partition secondary prevention (including drug therapy) and CR. Nevertheless, what evidence do we have to support the benefits of CR over and above current cardiac drug therapy?

2. Wenger NK, et al. Ad Hoc Task Force on Cardiac Rehabilitation. Cardiac rehabilitation services following PTCA and valvular surgery: guidelines for use. Cardiology 1990;19:4–5. 3. Goble AJ, et al. Effect of early programmes of high and low intensity exercise on physical performance after transmural infarction. Br Heart J 1991;65(3): 126–131. 4. Hämäläinen H, et al. Long-term reduction in sudden deaths after a multifactorial intervention programme in patients with myocardial infarction. 10-years results of a controlled investigation.

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