Balady Gary J, Williams Mark A, Ades Philip A, Bittner Vera, Comoss Patricia, Foody JoAnne M, Franklin Barry, Sanderson Bonnie, Southard Douglas
Boston University Medical Center, USA.
Circulation. 2007 May 22;115(20):2675-82. doi: 10.1161/CIRCULATIONAHA.106.180945. Epub 2007 May 18.
The American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation recognize that all cardiac rehabilitation/secondary prevention programs should contain specific core components that aim to optimize cardiovascular risk reduction, foster healthy behaviors and compliance to these behaviors, reduce disability, and promote an active lifestyle for patients with cardiovascular disease. This update to the previous statement presents current information on the evaluation, interventions, and expected outcomes in each of the core components of cardiac rehabilitation/secondary prevention programs, in agreement with the 2006 update of the American Heart Association/American College of Cardiology Secondary Prevention Guidelines, including baseline patient assessment, nutritional counseling, risk factor management (lipids, blood pressure, weight, diabetes mellitus, and smoking), psychosocial interventions, and physical activity counseling and exercise training.
美国心脏协会和美国心血管与肺康复协会认识到,所有心脏康复/二级预防项目都应包含特定的核心组成部分,旨在优化心血管疾病风险降低、培养健康行为并促使患者遵守这些行为、减少残疾,并为心血管疾病患者促进积极的生活方式。本次对先前声明的更新提供了关于心脏康复/二级预防项目各核心组成部分的评估、干预措施和预期结果的当前信息,与美国心脏协会/美国心脏病学会二级预防指南2006年更新版一致,包括患者基线评估、营养咨询、危险因素管理(血脂、血压、体重、糖尿病和吸烟)、心理社会干预以及身体活动咨询和运动训练。