Cardiac Rehabilitation

Front Cover
William Kraus, Steven Keteyian
Springer Science & Business Media, Jun 15, 2007 - Medical - 298 pages
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The era of cardiac rehabilitation in the United States dates back at least thirty years, when Herman Hellerstein at Case Western Reserve, Andy Wallace at Duke and Ken Cooper in Dallas envisioned that a comprehensive lifestyle approach to the rehabi- tation and prevention of patients having had a cardiac event would potentially yield great benefits for the individual patient and the health care system. Until that time, the thought of vigorous exercise in the cardiac patient soon after an event was close to anathema. One of us (WEK) was introduced to Herman Hellerstein in Cleveland in the late 1960’s, when his father sought medical opinion from him for a cardiac condition. WEK was introduced to Andy Wallace in 1979 by which time the latter had started a multidisciplinary, geographically regional cardiac rehabilitation program at Duke based upon consultations with Hellerstein and Cooper. By then, cardiac rehab- itation was progressing beyond the vision of exercise only, and since then the concept of cardiac rehabilitation has grown into the comprehensive multidisciplinary program that we know today and that we attempt to describe in this volume. The practice of cardiac rehabilitation has grown and metamorphosed in the last thirty years in parallel with the growth and metamorphosis of the practice of card- vascular medicine. During the formative stages of cardiac rehabilitation, the use of coronary care units was in its infancy. The coronary artery bypass operation was less than ten years old. The LIMA bypass had not been invented.
 

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Contents

1 Introduction
1
2 Principles for Prescribing Exercise in Cardiovascular Disease
7
3 Nutrition in Cardiac Rehabilitation
15
4 Weight Management in Patients with Established Cardiovascular Disease
25
5 Assessment and Management of Depression in Cardiac Rehabilitation Patients
45
6 Managing Stress to Manage Heart Disease
53
7 Use of Readiness for Change in Cardiac Rehabilitation Programs
67
The Prescription that Every Smoker Should be Given
77
15 Exercise in Patients with Cardiovascular Disease
169
16 Exercise as a Therapeutic Intervention for Hypertension
185
17 Diabetes Mellitus and Cardiac Rehabilitation in Clinical Practice
197
18 Pulmonary Issues Related to Cardiac Rehabilitation
211
19 Exercise Rehabilitation for Patients with Peripheral Arterial Disease
221
20 Dealing with Arthritis as a Comorbidity in Cardiac Rehabilitation Programs
231
21 Cardiac Rehabilitation for Elderly Cardiac Patients
243
Optimizing Referrals and Introducing Disease Management
253

9 Utility of Graded Exercise Testing in the Cardiac Rehabilitation Setting
103
10 Graded Exercise Testing
111
A Primer and Case Analysis
121
12 Role of the 6Minute Walk Test in Cardiac Rehabilitation
131
Statins and the Rationale for Implementation of LipidLowering Therapy
141
Diabetes and Hypertension
157
23 The Role of the PhysicianMedical Director in Cardiac Rehabilitation
263
24 Assessment and Treatment of Risk in the Clinic Setting
271
25 Cardiac Rehabilitation Staffing
277
26 Reimbursement Issues
289
INDEX
299
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