title: Current activities of Cardiovascular Rehabilitation in the ambulatory setting of the Lombardy Region.
abstract: In the present work, the current activities of Cardiovascular Rehabilitation and Prevention (CRP) in the ambulatory setting of the Lombardy Region (Italy) are described. Based on the 2012 Legislation, ambulatory CRP is delivered by means of three programme categories (MAC 6, 7, and 8) with different degrees of intensity. The patient evaluation of global cardiovascular/clinical risk, comorbidity, and disability is the cornerstone for MAC prescription. Following the organization of MAC activities, a survey on 327 patients was carried out by the regional network of the Italian Society of Cardiovascular Rehabilitation (GICR-IACPR). Globally, acute coronary syndromes (with or without coronary revascularization) constituted the main access group to CRP. More than 60% of patients displayed a condition of high risk, comorbidity, and disability. The outcome of ambulatory CRP by means of MAC 6 and 7 was satisfactory, while in the 'less intensive' MAC 8 patients with complete drug up-titration and achievement of secondary prevention targets were no more than 70%.
authors.affiliation: U.O. Cardiologia e Angiologia Riabilitativa, Clinica Le Terrazze. m.ambrosetti@clinicaleterrazze.com.
authors.forename: Marco
authors.initials: M
authors.lastname: Ambrosetti
authors.forename: Roberto F E
authors.initials: RF
authors.lastname: Pedretti
authors.forename: Mario
authors.initials: M
authors.lastname: Facchini
authors.forename: Gabriella
authors.initials: G
authors.lastname: Malfatto
authors.forename: Salvatore Pio
authors.initials: SP
authors.lastname: Riccobono
authors.forename: Oreste
authors.initials: O
authors.lastname: Febo
authors.forename: Tommaso
authors.initials: T
authors.lastname: Diaco
mesh_terms: D000553:Ambulatory Care / Q000706:statistics & numerical data*; D000072038:Cardiac Rehabilitation / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy; D008297:Male; D055502:Secondary Prevention / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires