Cardiac Rehabilitation: Underrecognized/Underutilized View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-12

AUTHORS

Barry A. Franklin, Jenna Brinks

ABSTRACT

OPINION STATEMENT: Unfortunately, too many patients continue to rely on costly coronary revascularization procedures, cardioprotective medications, or both, as first-line strategies to stabilize the course of coronary heart disease. However, these palliative therapies do not address the foundational or most proximal risk factors for coronary disease, that is, unhealthy dietary habits, physical inactivity, and cigarette smoking. Because most acute myocardial infarctions evolve from mild-to-moderate coronary artery stenosis (<70 % obstruction), rather than at the more severe obstructions that are commonly treated with coronary revascularization, these findings help explain the inability to demonstrate a reduction in acute cardiac events in most studies examining coronary artery bypass graft surgery and/or percutaneous coronary interventions. The delivery of comprehensive cardiovascular risk reduction, including exercise-based cardiac rehabilitation as an integral component, offers patients a bona fide treatment intervention to prevent recurrent cardiovascular events and the need for repeated revascularization procedures, while simultaneously providing referring physicians with ongoing surveillance data to potentially enhance their medical management. More... »

PAGES

62

References to SciGraph publications

  • 2002-05. Atherosclerosis: the new view. in SCIENTIFIC AMERICAN
  • 2015-01. Healthy obese versus unhealthy lean: the obesity paradox in NATURE REVIEWS ENDOCRINOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11936-015-0422-x

    DOI

    http://dx.doi.org/10.1007/s11936-015-0422-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038659378

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26526338


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