Velasco Rami J A, Maroto Montero J M
Servicio de Cardiología, Hospital General Universitario, Valencia.
Rev Esp Cardiol. 1995;48 Suppl 1:1-7.
Cardiac rehabilitation is a part of secondary prevention of cardiovascular diseases. It started as physical exercise programmes after the acceptance of the early mobilization of myocardial infarction patients. The programmes and recommendations of the World Health Organization, reported in 1964 and thereafter, expanded the development of cardiac rehabilitation and on that time, the first clinical studies were published. Later on, some randomized clinical trials were reported, but their results were not conclusive. Recently, a meta-analysis showed a reduction on mortality of 20-25% after cardiac rehabilitation programmes. The WHO Office at present, recommends the inclusion of rehabilitation programmes onto the secondary prevention measures for cardiac patients. The implementation of such programmes in our country must be considered as very necessary and beneficial.
心脏康复是心血管疾病二级预防的一部分。它始于心肌梗死患者早期活动被认可后的体育锻炼项目。1964年及之后报道的世界卫生组织的项目和建议推动了心脏康复的发展，当时首次发表了一些临床研究。后来，有一些随机临床试验被报道，但结果并不确凿。最近，一项荟萃分析表明，心脏康复项目实施后死亡率降低了20% - 25%。世界卫生组织目前建议将康复项目纳入心脏病患者的二级预防措施中。在我国实施此类项目必须被视为非常必要且有益的。
