TY  - CHAP
M1  - Book, Section
TI  - Cardiac Rehabilitation: Current Practice and Future Directions
A1  - Rozanski, Alan
A1  - Setareh-Shenas, Saman
A1  - Narula,  Jagat
A2  - Fuster, Valentin
A2  - Narula, Jagat
A2  - Vaishnava, Prashant
A2  - Leon, Martin B.
A2  - Callans, David J.
A2  - Rumsfeld, John S.
A2  - Poppas, Athena
PY  - 2022
T2  - Fuster and Hurst's The Heart, 15e
AB  - Chapter  SummaryThis  chapter  discusses  the  indications  for  referral,  evidence-based  benefits,  utility  in  specific  populations,  barriers  to  participation,  and  evolving  trends  in  cardiac  rehabilitation.  Cardiac  rehabilitation  has  evolved  into  a  multidimensional,  secondary  prevention  program  that  includes  five  core  competencies:  exercise  training,  patient  education,  dietary  counseling,  psychosocial  interventions,  and  risk  factor  modification  (see  Fuster  and  Hurst’s  Central  Illustration).  Cardiac  rehabilitation  usually  consists  of  36  sessions,  delivered  as  2  to  3  sessions  per  week  over  12  to  18  weeks,  and  it  is  indicated  for  patients  following  acute  myocardial  infarction  (MI),  coronary  artery  bypass  graft  surgery,  percutaneous  coronary  intervention  (PCI),  valvular  repair  or  replacement,  and  cardiac  transplantation,  and  for  patients  with  chronic  angina,  peripheral  vascular  disease,  and  heart  failure.  Cardiac  rehabilitation  is  associated  with  a  reduced  risk  of  death,  cardiac  death,  MI,  and  hospitalization,  as  well  as  lower  medical  costs.  In  addition,  it  leads  to  improved  quality  of  life  and  reduced  depression  and  anxiety  symptoms.  Despite  these  benefits,  current  referral  and  enrollment  in  cardiac  rehabilitation  is  suboptimal.  Lower  participation  is  observed  among  older  adults,  women,  and  individuals  with  less  education  or  fewer  socioeconomic  resources.  Home-based  programs,  which  may  reduce  costs  and  increase  availability,  are  currently  hindered  in  the  United  States  due  to  limited  insurance  coverage.  The  future  may  include  the  development  of  hybrid  programs  that  combine  center-based  and  home-based,  supervised  activities.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1202444339
ER  -