Cardiovascular_Prevention___Rehabilitation.pdf

Cardiovascular Prevention and Rehabilitation

Joep Perk, Peter Mathes, Helmut Gohlke, Catherine Monp

re,

Irene Hellemans, Hannah McGee, Philippe Sellier,

and Hugo Saner, Editors

Cardiovascular

Prevention

and Rehabilitation

Joep Perk, FESC

Peter Mathes, MD, FACC, FESC

Public Health Department

Department of Cardiology

Kalmar County

Technical University of Munich

Oskarshamn

Munich Rehabilitation Center

Sweden

München

Germany

Helmut Gohlke, FACC, FESC

Klinische Kardiologie II

Catherine Monpère, MD

Herz-Zentrum Bad Krozingen

Cardiac Rehabilitation Center

Germany

Bois Gilbert

Ballan Miré

Irene Hellemans, MD, (Speciality

France

Cardiology), PhD

Institute of Health Sciences

Hannah McGee, BA(Mod), PhD, RegPsycholFPsSI

Department of Earth Sciences

Department of Psychology

Vrije University

Royal College of Surgeons in Ireland

and

Dublin

Department of Cardiology

Ireland

Vrije University Medical Center

Amsterdam

Hugo Saner, MD

The Netherlands

Swiss Cardiovascular Center Bern

Cardiovascular Prevention and Rehabilitation

Philippe Sellier, MD

University

Hôpital Broussais-HEGP

Hospital Inselspital

Assistance Publique-Hôpitaux de Paris

Switzerland

Paris

France

British Library Cataloguing in Publication Data

Cardiovascular prevention and rehabilitation

1. Cardiovascular system – Diseases – Patients – Rehabilitation 2. Cardiovascular system – diseases –

Prevention

I. Perk, Joep

616.1

′

Library of Congress Control Number: 2006926876

ISBN-10: 1-84628-462-7

e-ISBN-10: 1-84628-502-X

Printed on acid-free paper

ISBN-13: 978-1-84628-462-5

e-ISBN-13: 978-1-84628-502-8

Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted

under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or trans-

mitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of

reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency.

Enquiries concerning reproduction outside those terms should be sent to the publishers.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a speciﬁc

statement, that such names are exempt from the relevant laws and regulations and therefore free for general

use.

Product liability: The publisher can give no guarantee for information about drug dosage and application

thereof contained in this book. In every individual case the respective user must check its accuracy by con-

sulting other pharmaceutical literature.

987654321

Springer Science

Business Media

springer.com

ISBN-13: 9781846284625

ISBM-10: 1846284627

Preface

Over the past decades the medical care of the patient with cardiovascular disease (CVD)

has shown an impressive development, with marked positive consequences for mortal-

ity, morbidity, and the quality of life of coronary patients. This improvement has

profoundly changed the arena in which cardiac rehabilitation (CR) has been acting

over the past 40 years. The younger patient from the 1970s with uncomplicated myocar-

dial infarction without ventricular dysfunction was joined in the early 1990s by patients

with advanced heart failure, and the transition continues: modern cardiac rehabilitation

is increasingly faced with a generation of patients who have been diagnosed and

adequately treated early with minimal residual cardiovascular damage. The focus of

CR is changing from physical rehabilitation to lifestyle counseling. But this development

is paradoxical indeed: with more cardiac patients surviving the acute event, the numbers

of elderly patients have grown and the total need for comprehensive CR has not

been reduced. The elderly were rarely enrolled in the early years of exercise-based

training programs. Therefore, this large population presents a new challenge, especially

as CR has proved to be particularly beneﬁcial for patients with congestive heart

failure.

Other factors play a role in the changing arena for CVD prevention and rehabilitation:

the worldwide pandemic of obesity is expected to again raise the numbers of young

cardiac patients and the disease is now extending into other parts of the globe. Thus

CVD will remain the main cause of premature death in the ﬁrst half of this century. Pre-

ventive public health measures are required. The relative weight of different risk factors

appears to be altering, with disturbances in the psychosocial sphere becoming more

important. With new diagnostic methods atherosclerosis can be detected well before an

acute event, which creates a greater demand for preventive cardiology, as has been appre-

ciated in the 2003 European Guidelines on Cardiovascular Prevention. Prevention and

rehabilitation are gradually becoming a united and intertwined multidisciplinary

service.

Furthermore, the theoretical basis for prevention and rehabilitation has been

strengthened over past years and the medical, social and economic beneﬁts have now

been well established, contributing to their incorporation in standard cardiac care in

many countries.

In the context of this scenario, the aim of the textbook is to give guidance in preven-

tion, lifestyle counseling and rehabilitation for cardiologists, other physicians, and many

different categories of health professionals in CR teams. For this purpose we have gath-

ered over 60 experts from all parts of the globe, many of them members of the recently

Plik z chomika:

Inne pliki z tego folderu:

Inne foldery tego chomika: