Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Can J Cardiol. 2018 Oct;34(10 Suppl 2):S247-S251. doi: 10.1016/j.cjca.2018.07.416. Epub 2018 Jul 27.
Cardiac rehabilitation programmes afford the opportunity to enhance cardiovascular health and reduce the risk of subsequent cardiac events. They permit the management of cardiac risk factors while addressing significant psychosocial and vocational issues. Tobacco addiction is the most important of the modifiable cardiac risk factors, and smoking cessation is the most important secondary prevention strategy. Cessation is more likely when cessation pharmacotherapy is accompanied by supportive advice and strategic assistance. A systematic approach to the delivery of cessation services, such as the Ottawa Model of Smoking Cessation, greatly enhances the likelihood of success. Cardiac rehabilitation programmes are ideal venues for the delivery of such programmes.
心脏康复计划为改善心血管健康和降低随后发生心脏事件的风险提供了机会。它们可以在处理重大心理社会和职业问题的同时,管理心脏危险因素。烟草成瘾是可改变的心脏危险因素中最重要的一个,而戒烟是最重要的二级预防策略。当戒烟药物治疗伴随着支持性建议和策略性帮助时,戒烟的可能性更大。采用系统的方法提供戒烟服务,如渥太华戒烟模式,极大地提高了成功的可能性。心脏康复计划是提供此类计划的理想场所。