Individualized preventive care in cardiac rehabilitation: adapted from AACVPR Award of Excellence Lecture, Charleston, WVa, October, 2006.
The benefits of individualizing risk factor therapies and exercise protocols in patients participating in early outpatient cardiac rehabilitation are reviewed. Risk factor intervention modules for modifications of lipid abnormalities and obesity are outlined. Specific individualized exercise regimens are described for patients characterized by the presence of obesity, older age, intermittent claudication, and chronic heart failure, which provide favorable outcomes related to risk factor measures and physical functioning. With adoption and application of an individualized approach for cardiac rehabilitation patients, programs are evolving to become secondary prevention centers for patients with established coronary heart disease.
Ades
Philip A
PA
Cardiac Rehabilitation and Prevention, South Burlington, VT 05403, USA. philip.ades@vtmednet.org
D019090:Case Management; D003327:Coronary Disease / Q000534:rehabilitation*; D015444:Exercise; D006333:Heart Failure / Q000534:rehabilitation; D006801:Humans; D006949:Hyperlipidemias / Q000628:therapy; D007383:Intermittent Claudication / Q000534:rehabilitation; D009765:Obesity / Q000628:therapy; D012307:Risk Factors; D040242:Risk Reduction Behavior