Article

Increasing awareness of the importance of cardiovascular prevention is not yet
matched by the resources and actions within health care systems. Recent
publication of the European Commission's European Heart Health Charter in 2008
prompts a review of the role of cardiac rehabilitation (CR) to cardiovascular
health outcomes. Secondary prevention through exercise-based CR is the
intervention with the best scientific evidence to contribute to decrease
morbidity and mortality in coronary artery disease, in particular after
myocardial infarction but also incorporating cardiac interventions and chronic
stable heart failure. The present position paper aims to provide the practical
recommendations on the core components and goals of CR intervention in different
cardiovascular conditions, to assist in the design and development of the
programmes, and to support healthcare providers, insurers, policy makers and
consumers in the recognition of the comprehensive nature of CR. Those charged
with responsibility for secondary prevention of cardiovascular disease, whether
at European, national or individual centre level, need to consider where and how
structured programmes of CR can be delivered to all patients eligible. Thus a
novel, disease-oriented document has been generated, where all components of CR
for cardiovascular conditions have been revised, presenting both well-established
and controversial aspects. A general table applicable to all cardiovascular
conditions and specific tables for each clinical disease have been created and
commented.

Langue : ANGLAIS

Tiré à part : OUI