The ESC Handbook of Cardiovascular Rehabilitation

Description:

This guide is directed at the multi-disciplinary team dealing with cardiac rehabilitation. It is a practical handbook for everyday professionals on what they should do following cardiac events and return to work. It is adapted to the needs of cardiac rehabilitation centers. · Key publication from the European Association of Preventive Cardiology (EAPC) · Companion handbook to The ESC Handbook of Preventive Cardiology: Putting Prevention into Practice This handbook is directed at cardiologists in training and practice, specialist (cardiac) nurses, technicians, exercise physiologists and other healthcare professionals involved in the multidisciplinary process of cardiac rehabilitation · Practical user-friendly handbook style presentation · Covers the complete spectrum of rehabilitation care · Key team members address key issues - smoking, diet and physical activity · Focus on high risk patients (family approach)

Table of Contents:

1. Evidence for cardiac rehabilitation in the modern era

Summary

Introduction

The evidence

Conclusion

References

Further reading

2. Different settings for cardiac rehabilitation

Summary

Introduction

Organization of cardiac rehabilitation

Alternative models of cardiac rehabilitation

The core components of home-based cardiac rehabilitation

Effects of home-based cardiac rehabilitation compared with hospital- or centre-based cardiac rehabilitation

Conclusion

References

Further reading

3. Cardiac rehabilitation: referral and barriers

Summary

Introduction

Barriers to CR uptake

Conclusion

References

Further reading

4. Human and material resources, structural, and organizational recommendations

Summary

Introduction

Human resources and organizational issues

Organizational aspects, infrastructural and material resources

Conclusion

References

Further reading

5. Recovering from acute heart events

Summary

Introduction

Cardiac rehabilitation after acute heart events

Conclusion

References

Further reading

6. Early assessment and risk stratification

Summary

Introduction

Early assessment

Risk profile

Conclusion

References

Further reading

7. Modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular risk factors

Summary

Introduction

Effects of physical activity and exercise training on CVD risk factors

How to prescribe exercise for improvement of CVD risk factors

Conclusion

References

Further reading

8. Exercise training for low-risk patients

Summary

Introduction

Assessment of low-risk patients

Prescription for aerobic endurance training

Prescription for dynamic resistance training

Precautions and safety in exercise training for low-risk patients

Conclusion

References

9. Exercise training programmes for high-risk and specific groups of patients

Summary

Introduction

Definition of ‘high-risk’ patients

Assessment of high-risk patients

Determination of exercise intensity

Exercise modalities

Specific populations (patients with ICD, CRT, and assist devices)

Conclusion

References

Further reading

10. Diet and nutritional aspects of cardiac rehabilitation

Summary

Introduction

Diet and nutritional aspects in patients with cardiovascular disease

Accounting for comorbidities, diabetes mellitus, and hypertension

Nutritional aspects in patients with malnutrition issues

Weight management and risk of cachexia and frailty

Conclusion

References

11. Educational intervention

Summary

Introduction

General considerations

Conclusion

References

Further reading

12. Intervention for depression, anxiety, and stress in cardiovascular patients

Summary

Introduction

How does depression increase cardiac mortality?

How do we diagnose depression in cardiac patients?

How do we treat depression?

Is treatment of depression in cardiac patients able to reduce mortality?

Conclusion

References

Further reading

13. Management of non-conventional risk factors

Summary

Introduction

Uric acid

Circulating and urinary biomarkers

Genetic markers

Vascular damage

Kidney dysfunction

Conclusion

References

14. How to improve adherence to medication and lifestyle measures

Summary

Introduction

Factors influencing non-adherence, non-adherence risk groups, and facilitators of adherence

How to measure adherence

Specific strategies for promoting pharmacological adherence

Specific strategies for promoting non-pharmacological adherence

Cardiac rehabilitation: secondary prevention programmes and adherence

Models and theories of change and adherence

Techniques for behavioural change

New electronic technologies

Conclusion

References

Further reading

15. Cardiac rehabilitation for geriatric and frail patients

Summary

Introduction

Cardiac rehabilitation in the elderly

Frailty definition and evaluation

Cardiac rehabilitation in frail elderly patients

Exercise interventions in frail patients

Other components of cardiac rehabilitation interventions in elderly patients

Conclusion

Case 1

Case 2

References

Further reading

16. Return to work

Summary

Introduction

Predictors of return to work

Conclusion

References

Further reading

17. Specific issues with physical activity after cardiac rehabilitation

Summary

Introduction

How to promote regular physical activity after phase II cardiac rehabilitation

How to prescribe and/or recommend regular physical activity after phase II cardiac rehabilitation

Conclusion

References

Further reading

18. Cardiopulmonary exercise test

Summary

Introduction

How to perform a cardiopulmonary exercise test

Interpreting the results of cardiopulmonary exercise tests

Conclusion

References

Further reading

19. Technological issues

Summary

Introduction

Monitoring in cardiac rehabilitation

Digital health

Future directions

References

Further reading

20. eHealth in cardiac rehabilitation

Summary

Introduction

How to implement cardiac tele-rehabilitation: organizational aspects

How to implement cardiac tele-rehabilitation: practical aspects

How to cope with legal frameworks and changing technologies

Conclusion

References

Further reading

21. The EXPERT tool: how to make exercise prescription easy

Summary

Introduction

The EXPERT tool: features and functionalities

The EXPERT training centre

Conclusion

Acknowledgement

References

Further reading

Index