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Preface to the Second Edition
Preface to the First Edition
Acknowledgments
Contributors
Sect. I Current Perspectives in Cardiac Rehabilitation
1 Cardiac Rehabilitation as a Model for Integrated Cardiovascular Care 3
2 The Physician and Cardiac Rehabilitation 26
3 Improvement of Quality of Life in the Framework of Cardiac Rehabilitation 43
4 Evaluation of Outcomes 52
Sect. II Functional Assessment and Prescription of Exercise
5 Exercise Electrocardiographic Testing 65
6 Cardiopulmonary Exercise Testing 102
7 Other Noninvasive Diagnostic Tools: Tests of Left Ventricular Function, Perfusion, and Metabolism 124
8 Exercise Prescription Development and Supervision 137
Pt. A Perspectives on the Formulation of Exercise Prescriptions 137
Pt. B Application of Exercise Principles to Routine Work and Recreational Activities 147
Pt. C Exercise Prescription for Cardiac Transplant Patients 155
Sect. III Medical Considerations in Cardiovascular Rehabilitation
9 Rehabilitation of Patients with Heart Failure 163
10 Rehabilitation of Patients with Arrhythmias, Pacemakers, and Defibrillators 192
11 Associated Medical Conditions 204
Pt. A Hypertension 204
Pt. B Diabetes 209
Pt. C Peripheral Arterial Disease 218
Pt. D Chronic Lung Disease 226
12 Noncardiologic Complications of Coronary Bypass Surgery and Common Patient Concerns 235
13 Common Musculoskeletal Problems in the Exercising Adult 249
Sect. IV Psychosocial Considerations in Cardiovascular Rehabilitation
14 Psychosocial Interventions for Cardiac Patients 255
15 Depression and Prognosis in Coronary Disease 266
16 Management of Depression and Anxiety in the Cardiac Patient 280
17 Vocational Issues: Maximizing the Patient's Potential for Returning to Work 304
Sect. V Selected Issues in Secondary Prevention
18 Sophisticated Lipid Diagnosis and Management: The Potential for Plaque Stabilization and Regression in the Cardiac Rehabilitation Setting 327
19 Smoking Cessation as a Critical Element of Cardiac Rehabilitation 365
20 Gender-specific Issues Related to Coronary Risk Factors in Women 383
Sect. VI Program Implementation and Function
21 Designing and Implementing a Prevention Cardiology Program 403
22 Program Standards and Organizational Issues 418
23 Program Models for Cardiac Rehabilitation 446
Pt. A Institution-based 446
Pt. B Community-based 453
Pt. C Home-based 458
Pt. D Corporate-based: Coors Brewing Company 466
Pt. E Corporate-based: The Boeing Company 472
24 Medical-Legal Liability 479
25 Adherence and Motivation in Cardiac Rehabilitation 487
26 Newer Technology in Cardiac Rehabilitation 504
Appendix A Tables of Energy Requirements for Activities of Daily Living, Household Tasks, Recreational Activities, and Vocational Activities 515
Appendix B Recommendations for Participation in Sports for Patients with Various Cardiac Abnormalities 525
Index 543