![]() Recent Cochrane reviews demonstrate that CR improves health-related quality of life (HRQoL) and reduces hospital admissions compared with usual care in various patient groups including those with MI, heart failure and following percutaneous coronary intervention and coronary artery bypass graft. 6, 7 Such programmes are designed to limit the physiological and psychological effects of cardiac illness, reduce the risk for sudden death or reinfarction following myocardial infarction (MI), control cardiac symptoms, stabilise or reverse the atherosclerotic process, and enhance the psychosocial and vocational status of selected patients (eg, by improving functional capacity to support early return to work 7). 3 While a central component is exercise training, 4, 5 it is recommended that CR programmes provide lifestyle education on CHD risk factor management plus counselling and psychological support-so-called ‘comprehensive CR’. ![]() 2Ĭardiac rehabilitation (CR) is offered to individuals after cardiac events in order to facilitate recovery and prevent relapse by optimising cardiovascular risk reduction, fostering healthy behaviours and compliance to these behaviours, and promoting an active lifestyle. 1 In the UK, around 110 000 men and 65 000 women are admitted with acute coronary syndrome every year and it is estimated that there are 2.3 million people living with CHD. Mortality from coronary heart disease (CHD) in developed nations has fallen over the past three decades however, CHD still accounts for around 20% of deaths in Europe.
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