Editorial
How valuable is cardiac rehabilitation and who should get it?
| The first 150 words of the full text of this article appear below. |
Modern
cardiac rehabilitation is a multidisciplinary activity requiring a
range of health skills to bring together medical treatment, education,
counselling, exercise training, risk factor modification, and secondary
prevention, to limit the harmful physical and psychological effects of
heart disease, reduce the risk of death or recurrence of the cardiac
event, and enhance the psychosocial and vocational state of
patients.1 It has developed from older and more one
dimensional concepts of exercise based rehabilitation, which had
evolved in response to treatment regimens involving prolonged bed rest.
The value of multidisciplinary rehabilitation rests on two questions:
first, is the whole more than the sum of its parts, and second, is the
environment of a cardiac rehabilitation programme a good way of
ensuring patients receive and adhere to evidence based treatments? The
first question can only be answered indirectly in that no trials of
adequate size have randomised patients to single versus
multidisciplinary
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