Keeping pace with rapid changes in the field, the fourth edition of Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs has been completely revised, including a new chapter on nutrition and plant-based diets as a treatment option in cardiac rehabilitation. This definitive book provides the most current models for designing and updating rehabilitation programs for patients and preventing a second episode. Youll find the latest information on changes in lifestyle behaviors and reduction of risk factors for disease progression and necessary information for softening the impact of cardiovascular disease on quality of life, morbidity, and mortality.

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fourth Edition, addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention. It presents a model for managing the disease through education, risk factor intervention, exercise, and symptom recognition, plus a management model that covers related chronic diseases including diabetes, asthma, osteoporosis, and cancer.

Special features of the text include the following:
Chapter objectives to help readers quickly assess the topics covered and identify the most important points

Boxed guidelines in each chapter covering current issues and providing hints and methods to implement treatment programs and help patients stay on track

24 appendixes with questionnaires, charts, consent forms, protocols, records, checklists, and logs you can use when creating or assessing programs

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fourth Edition, was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. This book is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.

Contents

Contributors

Preface
Chapter 1. The Integration of Cardiac Rehabilitation and Secondary Prevention

National Perspective

Global Perspective

Challenges and Opportunities

Summary
Chapter 2. The Cardiac Rehabilitation Continuum of Care

Contemporary Cardiac Rehabilitation: Secondary Prevention

The Future of Cardiac Rehabilitation and Secondary Prevention

Summary
Chapter 3. Emergence of Nutrition and Plant-Based Diets in the Treatment and Prevention of Cardiovascular Disease

Plant-Based Diets and Phytochemicals

Epidemiological Evidence for Benefits of Plant-Based Diets

Clinical Trial Evidence for Benefits of Plant-Based Diets

Paradigm Shift: From Avoidance to Inclusion

Dietary Supplements and Herbal Medicines

Soy-Derived Isoflavone Phytoestrogens

Practical Suggestions

Summary
Chapter 4. Cardiac Rehabilitation in the Inpatient and Transitional Settings

Early Assessment, Mobilization, and Risk-Factor Management

Discharge Planning

Implementation Strategies

Clinical Pathways

Staffing

Space and Equipment

Transitional Programming

Home Care

Summary
Chapter 5. Outpatient Cardiac Rehabilitation and Secondary Prevention

Structure of Secondary Prevention

Assessment of Risk Factors for Disease Progression

Stratification of Risk for Events During Exercise

Medical Supervision and Electrocardiogram Monitoring of Patients During Exercise

Implementation of Secondary Prevention

Summary
Chapter 6. Medical Evaluation and Exercise Testing

Physical Examination

Risk Stratification and Identification of Contraindications for Exercise Training

Exercise Testing

Alternative Opportunities for Evaluating Physical Activity Status

Summary
Chapter 7. Education and Behavior Modification for Risk-Factor Management

Basic Counseling Skills

Principles of Adult Learning

Principles of Behavior Modification

Social Learning Theory

Readiness-for-Change Theory

Inpatient Interventions

Outpatient Interventions

Selecting and Developing Educational Materials

Summary
Chapter 8. Modifiable Cardiovascular Disease Risk Factors

Smoking

Abnormal Lipids

Hypertension

Physical Inactivity

Psychosocial Concerns

Obesity

Emerging Risk Factors

Summary
Chapter 9. Special Considerations

Older Patients

Young Adults

Women

Racial and Cultural Diversity

Revascularization and Valve Surgery

Ventricular Arrhythmias, Pacemakers, and ICDs

Heart Failure

Patients With Left Ventricular Assist Devices

Cardiac Transplantation

Diabetes

Pulmonary Disease

Peripheral Arterial Disease

Summary
Chapter 10. Administration Considerations

Administrative Structure

Outcome Assessment

Information Management

Insurance and Reimbursement

Human Resources

Continuum of Care and Services

Summary
Chapter 11. Management of Medical Problems and Emergencies

Potential Risks in Outpatient Cardiac Rehabilitation

Advance Directives

Patient Assessment and Screening

Documentation of Emergencies

Emergency Equipment

Staff Training and Site Preparation

Transtelephonic ECG Monitoring

Home Health

Community Site Programming

Summary

Appendixes

References

Index

About the AACVPR

Audiences

Reference for cardiac rehabilitation specialists, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) members, cardiac care specialists, exercise physiologists, cardiologists, physicians, educators, clinicians, cardiac rehabilitation students, clinical program directors, health care agencies, and insurers.

The American Association of Cardiovascular and Pulmonary Rehabiltation (AACVPR) is the worldwide leader in promoting the value and practice of cardiovascular and pulmonary rehabilitation. AACVPR's mission is improving the quality of life for patients and their families by reducing morbidity, mortality, and disability from cardiovascular and pulmonary diseases through education, prevention, rehabilitation, research, and aggressive disease management.