By William Kraus, Steven Keteyian
This quantity serves as a guide to companies concerning the multidisciplinary nature of cardiac rehabilitation within the present period, the present nation of cardiac rehabilitation, and the problems offering to present CR courses. It comprises theoretical, sensible, and updated cardiac rehabilitation details, together with the recent heart for Medicare and Medicaid prone (CMS) guidance for compensation. The booklet bargains assorted, finished chapters, from nutrients to programmatic concerns. It serves as an ideal source for employees and administrators which are new to cardiac rehabilitation or desire to start a software.
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Extra resources for Cardiac Rehabilitation (Contemporary Cardiology)
Most research indicates that the combination of diet, exercise, and behavioral counseling is best for optimal weight loss and the maintenance process. Fig. 3 provides a BMI-based strategy suggesting the intensity of treatment as proposed by the American College of Physicians. Although this strategy is not specific to patients participating in cardiac rehabilitation, it does reflect the current general consensus of the initial treatment approach for obese patients seeking a clinical weight loss approach.
67. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-7) reclassified obesity as a major modifiable risk factor for cardiovascular disease (9). And there are many other diseases for which being overweight is strongly associated, including the risk of developing gallstones, some forms of cancer, diabetes, hypertension, osteoarthritis, low back pain, liver disease, sleep apnea, and premature death (10). Certainly, obesity is prevalent in populations with CAD.
Prothrombotic status: Elevated levels of fibrinogen and plasma activator inhibitor (PAI-1) are often elevated in the obese (15). Both factors are related to increased risks of thrombotic events. This alteration in thrombotic state, along with the proinflammatory effects of obesity, may be associated with the increase risk of stroke also seen in obese individuals (16). K. Ehrman These and other potential effects of obesity, including increases in blood volume and cardiac output, increased cardiac work at any level of exertion compared with normal non-obese persons and cardiac hypertrophy/myopathy all can result in the initial genesis of, and ongoing problems associated with atherosclerosis.
Cardiac Rehabilitation (Contemporary Cardiology) by William Kraus, Steven Keteyian