Gattiker H, Goins P, Dennis C
Department of Comprehensive Cardiac Therapy, Scripps Clinic and Research Foundation, La Jolla, CA.
West J Med. 1992 Feb;156(2):183-8.
Comprehensive cardiac rehabilitation is more than exercise training for patients with coronary artery disease and now includes all aspects of secondary prevention. Exercise training is individually prescribed based on clinical status and therapeutic goals. Smoking cessation and abstinence and the treatment of hypercholesterolemia are integral to the rehabilitation process. Education and counseling are important adjuncts to treatment, especially soon after a coronary event. Vocational rehabilitation can be included simply and effectively in the rehabilitation process. Efficient and cost-effective cardiac rehabilitation is tailored to a patient's medical condition, risk factor evaluation, and vocational status. The future of cardiac rehabilitation will be linked to the success of training nonphysician health professionals to provide preventive services.
综合心脏康复对冠心病患者而言不仅仅是运动训练，现在还包括二级预防的各个方面。运动训练根据临床状况和治疗目标进行个性化定制。戒烟以及高胆固醇血症的治疗是康复过程不可或缺的一部分。教育和咨询是治疗的重要辅助手段，尤其是在冠心病事件发生后不久。职业康复可以简单而有效地纳入康复过程。高效且具成本效益的心脏康复是根据患者的病情、风险因素评估和职业状况量身定制的。心脏康复的未来将与培训非医师健康专业人员提供预防服务的成功与否相关联。
