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Cardiac rehabilitation and mortality reduction after myocardial infarction: evidence shows the emperor is properly dressed
  1. Robert Lewin1,
  2. Patrick Doherty2
  1. 1BHF Care and Education Research Group, University of York, York, UK
  2. 2Faculty of Health and Life Sciences, York St John University, York, UK
  1. Correspondence to Professor Bob Lewin, Department of Health Sciences, University of York, Area 4, Seebohm Rowntree Building, York, YO10 5DD, UK; bob.lewin{at}york.ac.uk

Abstract

This piece highlights the strength of evidence in favour of cardiac rehabilitation (CR) and postulates that the emperor is indeed well dressed. The reason why a single negative trial, in the UK, has caused such hullabaloo in the literature and clinical practice is examined against overwhelming evidence from over 40 positive randomised controlled trials. The lack of motivation to promote lifestyle change and the role of patients in determining outcome is also explored. To conclude, we set the scene for the final chapter of this story by outlining what needs to be done to answer the question about the real-world effectiveness of CR.

  • Myocardial Ischaemia And Infarction (Ihd)
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