Copyright © 2003 by the European Society of Cardiology.
Regular Articles
Secondary Prevention Through Cardiac Rehabilitation
Position Paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology
a 'Salvatore Maugeri' Foundation, Institute for Clinical Care and Research (IRCCS), Scientific Institute of Veruno Via per Revislate 13, 28010 (NO),Veruno Italy
b Leitender Arzt Cardiac Rehabilitation and Prevention Inselspital Bern, Freiburgstrasse CH-3010 Bern, Switzerland
c Heart Department, Haukeland Sykehus, NO-5021 Bergen, Norway
d Cardiology Institute, Azienda Ospedaliera, S. Maria della Misericordia, P. le S. Maria d. Misericordia 15, IT-33100 Udine, Italy
e Instituto Do Coraçao, Hospital Santa Cruz, Av. Prof. Reinaldo Dos Santos, 27, PT-2795 Carnaxide, (Linda-a-Velha), Portugal
f Service de Cardiologie, Hôpital Beaujon, 100, Bd du Gal Leclerc, FR-92118 ClinchyCedex, France
g Wellness Medical Centre, Adidas Centre Ltd, Pepper Road, Hazel Grove, PO Box 39, SK7 5SD StockportUK
h University of Leipzig-Herzzentrum, Department of Internal, Medicine/Cardiology, Russenstrasse 19, D-04289 Leipzig, Germany
i Thoraxcentrum, Dijikzigt Ziekenhuis, Molenwaterplein 40, Box #2040, beeper: 5171, 3000 CA Rotterdam, USA
j Health Services Research Cenre, Department of Psychology, Royal College of Surgeons in Ireland, Mercer Sto Lower, Dublin 2, Ireland
k Department of Internal Medicine, Oskarshamns Hospital, 57228 Oskarshamn, Sweden
l UZ Leuven, Herestraat 59, 3000 Leuven, Belgium
m State Hospital for Cardiology, (S.H.o.C.Bf.), Gyógy Square 2, 8230 Balatonfüred, Hungary
* Corresponding author: Pantaleo Giannuzzi, MD, ‘Salvatore Maugeri’ Foundation, Institute for Clinical Care and Research (IRCCS), Scientific Institute of Veruno, Via per Revislate 13, 28010 VERUNO (NO), Italy
E-mail address: pgiannuzzi{at}fsm.it
E-mail address: hugo.saner{at}insel.ch
E-mail address: hansbioe{at}online.no
E-mail address: fioretti.paolo{at}aoud.sanit.fvg.it
E-mail address: Miquel.mendes{at}ono.com
E-mail address: a.cohen.solal{at}wanadoo.fr
E-mail address: Dorian.dugmore{at}adidas.co.uk
E-mail address: hamr{at}medizin.uni-leipzig.de
E-mail address: ihellema{at}afd.knmg.nl
E-mail address: hmcqee{at}rcfsi.ie
E-mail address: chiopeerk{at}hotmail.com
E-mail address: luc.vanhees{at}uz.kuleuven.ac.be
E-mail address: veress{at}elso.bfkor.hu
Received 18 November 2002; revised 27 January 2003; accepted 6 March 2003
The purpose of this statement is to provide specific recommendations in regard to evaluation and intervention in each of the core components of cardiac rehabilitation (CR) to assist CR staff in the design and development of their programmes; the statement should also assist health care providers, insurers, policy makers and consumers in the recognition of the comprehensive nature of such programmes. Those charged with responsibility for secondary prevention of cardiovascular disease, whether at European, at national or at individual centre level, need to consider where and how structured programmes of CR can be delivered to the large constituency of patients now considered eligible for CR.
Key Words: Cardiac rehabilitation • Secondary prevention • Lifestyle changes • Cardiovascular riskfactors
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