By William Kraus, Steven Keteyian
This quantity serves as a handbook to services in regards to the multidisciplinary nature of cardiac rehabilitation within the present period, the present country of cardiac rehabilitation, and the problems proposing to present CR courses. It comprises theoretical, functional, and updated cardiac rehabilitation details, together with the recent heart for Medicare and Medicaid prone (CMS) guidance for compensation. The booklet bargains various, entire chapters, from nutrients to programmatic matters. It serves as an ideal source for workers and administrators which are new to cardiac rehabilitation or desire to start a application.
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Additional resources for Cardiac Rehabilitation (Contemporary Cardiology)
TREATMENT STRATEGIES The Cardiac Rehabilitation Clinical Practice Guidelines from the US Department of Health and Human Services provides an algorithm decision tree for cardiac rehabilitation services which probes whether the patient is overweight and suggests dietary education, counseling, and behavioral intervention as global treatment strategies (2). This strategy is endorsed by the AACVPR in the 4th edition of Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs (1). Most research indicates that the combination of diet, exercise, and behavioral counseling is best for optimal weight loss and the maintenance process.
Adding low-fat dairy products such as milk and yogurt to a diet rich in fruits and vegetables compounds the diet’s ability to reduce cardiac risk. In the setting of weight maintenance, the DASH-feeding studies noted that addition of two to three servings of low-fat dairy products to the basic diet more than doubled the reduction in blood pressure achieved by subjects using this dietary approach (6). While these positive effects on blood pressure have been well-documented, newer research demonstrates the potential for even more risk-reduction benefits through dietary changes.
Once an appropriate calorie level is identified, one should determine the recommended contributions from each dietary component. A healthy cardiac diet allows for an estimated 25–30% of total calories from fat—mainly from healthy monounsaturated and polyunsaturated fats by limiting unhealthy saturated fat to 7% of total calories. A quick reference for total fat and saturated fat gram allowance for varying calorie levels is provided. One can select the calorie level closest to the participant’s calculated needs, erring on the side of less versus more calories in the diet.