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2016, Number 1

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Rev Cubana Cardiol Cir Cardiovasc 2016; 22 (1)

Models of Cardiovascular Prevention Units Integral, with special emphasis on the preventive role of Cardiac Rehabilitation

Rivas EE, García PE, Andrade RM

Language: Spanish
References: 29
Page: 34-42
PDF size: 472.34 Kb.


ABSTRACT

Comprehensive Cardiovascular Prevention Units should include specific components to achieve risk reduction and promote healthy lifestyles. Cardiac rehabilitation (CR) is essential in the treatment of cardiovascular diseases due to its effectiveness as a secondary prevention since it reduces morbidity and mortality, it is also a cost-effective intervention. There are different models of RC units with varied structure but with similar objectives: hospital, residential, in specialized units in primary and home care models. For maximum effectiveness, RC programs should be comprehensive and include control of risk factors, physical training, counseling and vocational and social guidance. In the external model or outpatient hospital patient moves from his home to the hospital to complete a supervised exercise program. At the level of Primary Care Center RC programs and secondary prevention mainly low-risk patients are made and are similar to hospital programs. Home programs have become particularly important in countries where the geographic dispersion of patients makes it impossible to carry out a program of conventional RC and have shown similar benefits. They have also incorporated new technologies (mobile telephony, web, video conferencing). These new technologies favor self-control and patient care with heart disease and is what has been referred to today as "Tele-Rehabilitation" alternative model of RC.


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