Division of Cardiology, National Jewish Health, Main Campus, 1400 Jackson St., Denver, CO, 80206, USA.
Division of Cardiovascular Medicine, University of California San Diego, La Jolla, CA, USA.
Curr Cardiol Rep. 2019 Mar 4;21(4):19. doi: 10.1007/s11886-019-1104-1.
To review evidence-based lifestyle modification strategies for secondary prevention and explore how they are incorporated in traditional cardiac rehabilitation (CR) and intensive cardiac rehabilitation (ICR) programs.
While physical activity is an important element of cardiac rehabilitation, more recent studies support a variety of methods, including stress management and plant-based diets, to reduce cardiovascular risk factors. Patients who participate in traditional CR programs demonstrate clinical improvement, which are significantly greater in intensive CR (ICR). Yet, there is still a disparity in numbers between those who are eligible and those who ultimately enroll. Research into non-surgical and non-pharmacological health management approaches continues to validate the effectiveness of multidisciplinary intensive CR programs, but there is an increasing need to connect patients with these opportunities.
回顾循证生活方式改变策略在二级预防中的应用，并探讨其在传统心脏康复（CR）和强化心脏康复（ICR）中的应用。
尽管体力活动是心脏康复的重要组成部分，但最近的研究支持多种方法，包括压力管理和植物性饮食，以降低心血管危险因素。参加传统 CR 项目的患者表现出临床改善，而在强化 CR（ICR）中则更为显著。然而，在符合条件的患者和最终参加的患者之间，数量仍存在差距。非手术和非药物健康管理方法的研究不断验证多学科强化 CR 项目的有效性，但越来越需要将患者与这些机会联系起来。
