PMID- 25464436
OWN - NLM
STAT- MEDLINE
DCOM- 20150824
LR  - 20220331
IS  - 1874-1754 (Electronic)
IS  - 0167-5273 (Linking)
VI  - 179
DP  - 2015 Jan 20
TI  - 40 years of cardiac rehabilitation and secondary prevention in post-cardiac 
      ischaemic patients. Are we still in the wilderness?
PG  - 153-9
LID - S0167-5273(14)02091-9 [pii]
LID - 10.1016/j.ijcard.2014.10.154 [doi]
AB  - Cardiac rehabilitation (CR) is the sum of interventions required to ensure the 
      best physical, psychological and social conditions so that patients with cardiac 
      disease may assume their place in society and slow the progression of the 
      disease. Exercise testing (ET) early after MI has been shown to result in earlier 
      return to work than the non-performance of ET. Research quality CR has resulted 
      in lower cardiovascular mortality and lower recurrent hospitalisation and has 
      been shown to be cost-effective. However, the content of cardiac rehabilitation 
      programmes varies considerably. The only randomised trial of CR as usually 
      performed in the 'real world' showed that CR had no impact on cardiac death rates 
      or any other outcome. Only 20-50% of eligible patients attend CR programmes and 
      attendance at CR has not improved in the last 20 years despite major attempts to 
      increase participation in CR. Alternative methods for provision of CR have been 
      sought. These include home-based CR, case management approaches, and nurse 
      coordinated prevention programmes. Telephone based programmes, such as The COACH 
      Program, have been introduced to coach patients and improve behavioural and 
      biomedical risk factors. These have been shown to improve risk factors better 
      than usual patient care and to reduce recurrences of cardiac events after 
      discharge from hospital due to MI. Expansion of novel approaches such as The 
      COACH Program may help to counteract the non-attendance at CR.
CI  - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved.
FAU - Jelinek, Michael V
AU  - Jelinek MV
AD  - Cardiology Department, St Vincent's Hospital, Melbourne, Victoria, Australia; 
      Department of Medicine, University of Melbourne, Fitzroy, Victoria, Australia; 
      Cardiovascular Research Centre, Australian Catholic University, Melbourne, 
      Victoria, Australia. Electronic address: michael.jelinek@svhm.org.au.
FAU - Thompson, David R
AU  - Thompson DR
AD  - Centre for Heart and Mind, Australian Catholic University.
FAU - Ski, Chantal
AU  - Ski C
AD  - Centre for Heart and Mind, Australian Catholic University.
FAU - Bunker, Stephen
AU  - Bunker S
AD  - Cardiovascular Research Centre, Australian Catholic University, Melbourne, 
      Victoria, Australia.
FAU - Vale, Margarite J
AU  - Vale MJ
AD  - Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, 
      Fitzroy, Victoria, Australia.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20141029
PL  - Netherlands
TA  - Int J Cardiol
JT  - International journal of cardiology
JID - 8200291
SB  - IM
MH  - Exercise Test/trends
MH  - Humans
MH  - Myocardial Ischemia/diagnosis/*prevention & control/*rehabilitation
MH  - Risk Factors
MH  - Secondary Prevention/methods/*trends
MH  - Telephone/statistics & numerical data/trends
OTO - NOTNLM
OT  - Coronary disease
OT  - Rehabilitation
OT  - Risk factors
OT  - Secondary prevention
OT  - Telephone
EDAT- 2014/12/03 06:00
MHDA- 2015/08/25 06:00
CRDT- 2014/12/03 06:00
PHST- 2014/05/30 00:00 [received]
PHST- 2014/10/21 00:00 [revised]
PHST- 2014/10/24 00:00 [accepted]
PHST- 2014/12/03 06:00 [entrez]
PHST- 2014/12/03 06:00 [pubmed]
PHST- 2015/08/25 06:00 [medline]
AID - S0167-5273(14)02091-9 [pii]
AID - 10.1016/j.ijcard.2014.10.154 [doi]
PST - ppublish
SO  - Int J Cardiol. 2015 Jan 20;179:153-9. doi: 10.1016/j.ijcard.2014.10.154. Epub 
      2014 Oct 29.