Cardiac Rehabilitation

Joseph Tessler, Bruno Bordoni, Joseph Tessler, Bruno Bordoni

Excerpt

Cardiovascular disease (CVD) is one of the leading causes of death worldwide and is the leading cause of death in the United States. Cardiac rehabilitation, or cardiac rehab, is a complex, interprofessional intervention customized to individual patients with various cardiovascular diseases such as ischemic heart disease, heart failure, and myocardial infarctions, or patients who have undergone cardiovascular interventions such as coronary angioplasty or coronary artery bypass grafting. Cardiac rehabilitation programs aim to limit the psychological and physiological stresses of CVD, reduce the risk of mortality secondary to CVD, and improve cardiovascular function to help patients achieve their highest quality of life possible. Accomplishing these goals is the result of improving overall cardiac function and capacity, halting or reversing the progression of atherosclerotic disease, and increasing the patient's self-confidence through gradual conditioning.

Several organizations, including the American Heart Association (AHA), The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), and the Agency for Health Care Policy and Research, agree that a comprehensive cardiac rehabilitation program should contain specific core components. These components should optimize cardiovascular risk reduction, reduce disability, encourage active and healthy lifestyle changes, and help maintain those healthy habits after rehabilitation is complete. Cardiac rehabilitation programs should focus on:

  1. Patient assessment nutritional counseling

  2. Weight management

  3. Blood pressure management

  4. Lipid management

  5. Diabetes management

  6. Tobacco cessation

  7. Psychosocial management

  8. Physical activity counseling

  9. Exercise training

Conflict of interest statement

Disclosure: Joseph Tessler declares no relevant financial relationships with ineligible companies.

Disclosure: Bruno Bordoni declares no relevant financial relationships with ineligible companies.

Copyright © 2024, StatPearls Publishing LLC.

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