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2015, Number 2

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Rev Clin Esc Med 2015; 5 (2)

Rehabilitación cardíaca para el médico general

Hütt CE, Salas SJ
Full text How to cite this article

Language: Spanish
References: 17
Page: 30-36
PDF size: 255.32 Kb.


Key words:

Cardiac rehabilitation, physical exercise, secondary prevention.

ABSTRACT

Cardiac rehabilitation has become a therapeutic tool in modern cardiology; and although it was introduced so early and with sufficient evidence, it hasn’t been widely used by the medical community. The first goal of cardiac rehabilitation was to help patients reacquire autonomy and improve regular physical activity, but recently these programs consist of more components and clinical studies show a positive impact on mortality. Currently, cardiac rehabilitation programs are multidisciplinary and consist of three phases which include early progressive mobilization of the stable cardiac patient, postoperative care, optimization of medical therapy, the development of a physical activity program, counseling on healthy lifestyles and management of comorbidities, among others. The general practitioner, like the primary care physician must implement these secondary prevention measures since evidence of the benefits obtained with each of these phases is clear.


REFERENCES

  1. Mampuya WM. Cardiac rehabilitation past, present and future: an overview. Cardiovascular Diagnosis and Therapy. 2012;2(1):38-49.

  2. Morris JN Heady JA. Mortality in relation to the physical activity of work: a preliminary note on experience in middle age. Br J Ind Med. 1953;10:245- 254.

  3. Saltin B Blomqvist G Mitchell JH et al. Response to exercise after bed rest and after training. Circulation. 1968;38:1- 78.

  4. Wannamethee SG Shaper AG Walker M. Physical activity and mortality in older men with diagnosed coronary heart disease. Circulation. 2000;102: 1358-1363.

  5. Yusuf S Hawken S Ounpuu S et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364:937-952.

  6. National Heart Foundation of Australia & Australian Cardiac Rehabilitation Association. Recommended Framework for Cardiac Rehabilitation 4. Tomado el 04/01/15 de http://www.heartfoundation.org.au/Site CollectionDocuments/Recommendedframework. pdf.

  7. Naughton J. Exercise training for patients with coronary artery disease. Cardiac rehabilitation revisited. Sports Med. 1992;14:304-319.

  8. Leon AS Franklin BA Costa F et al. Cardiac Rehabilitation and Secondary Prevention of Coronary Heart Disease. Circulation. 2005;111:369-376.

  9. Hambrecht R Wolf A Gielen S et al. Effect of exercise on coronary endothelial function in patients with coronary artery disease. N Engl J Med. 2000;342: 454-460.

  10. Taylor RS Brown A Ebrahim S et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized trials. Am J Med. 2004; 116:682-697.

  11. Levine SA Lown B. The “chair” treatment of acute thrombosis. Trans Asoc Am Physicians. 1951;64:316-327.

  12. Squires RW Gau GT Miller TD et al. Cardiovascular rehabilitation: status, 1990. Mayo Clin Proc. 1990;65:731- 755.

  13. National Heart Foundation of Australia – Physical Activity for People with Heart Disease, 2000.

  14. National Heart Foundation of Australia – “Stress” and Coronary Heart Disease – Position Paper, 2003.

  15. Warburton DE McKenzie DC Haykowsky MJ et al. Effectiveness of highintensity interval training for the rehabilitation of patients with coronary artery disease. Am J Cardiol. 2005;95: 1080-1084.

  16. Mohiuddin SM Mooss AN Hunter CB et al. Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest. 2007;131:446-452.

  17. Yusuf S Lonn E Bosch J. Lipid lowering for primary prevention. Lancet. 2009;373:1152-1155.




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Rev Clin Esc Med. 2015;5