Document Detail


Is cardiac rehabilitation still relevant in the new millennium?
MedLine Citation:
PMID:  22037713     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Cardiac rehabilitation is an evidence-based intervention which has evolved over time and incorporates physical, psycho-social and educational components with the aim of improving the patients' functioning following a cardiac event. The evidence base for cardiac rehabilitation following acute myocardial infarction has been growing over the past half a century. Individual randomized control trials were small and, therefore, mortality outcomes usually failed to reach significance; however, meta-analyses have proven consistently that participation in cardiac rehabilitation following a myocardial infarction is associated with a significant improvement in mortality. In the era of revascularization and improved drug therapies, observational studies still provide evidence that independent of other treatments, cardiac rehabilitation is a life-saving measure. Although early studies often only studied young males, more contemporary data include patients from all sectors of society and have found that groups such as women, the elderly and those with heart failure appear to have greater mortality benefits compared with the traditional young male cohort. Uptake remains a problem and one challenge for the future is ensuring improved uptake on to good-quality rehabilitation programmes and demonstrating these positive effects.
Authors:
Laura E Dobson; Robert J Lewin; Patrick Doherty; Phillip D Batin; Simon Megarry; Christopher P Gale
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-27
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
aDepartment of Cardiology, Leeds Teaching Hospitals Trust, Leeds bDepartment of Health Science, British Heart Foundation Care and Education Research Group, University of York cFaculty of Health and Life sciences, York St John University, York dDepartment of Cardiology, Mid-Yorkshire Hospitals NHS Trust, Wakefield eDepartment of Cardiology, York Teaching Hospital NHS Foundation Trust, York fCentre for Epidemiology and Biostatistics, University of Leeds, Leeds, UK.
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