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Cardiac Rehabilitation

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Efficacy of Cardiac Rehabilitation A study conducted in Britain shows that the 40% mortality rate among men and 10% mortality rate among women between the ages of 45 and 65 years are due to coronary heart disease (Brennan, 1997). In Europe 22% of deaths are related to coronary heart disease. Most heart attack survivors are not receiving enough systematic help with rehabilitation, which results in anxiety, stress, depression and finally poor outcomes (Brennan, 1997). Living with these symptoms causes increased rate of morbidity and mortality after the infarction. One of the goals of cardiac rehabilitation is the reduction of morbidity and mortality through exercise training, dietary changes, smoking cessation and type A behavior modification. The second goal is amelioration of distress associated with cardiac pathology through the use of new coping strategies such as behavioral and cognitive techniques and stress management programs and anger control (Brennan, 1997). Exercise program is the most important intervention by researchers and clinicians. But the other form of intervention, like the effectiveness of smoking cessation programs, has received little attention. This article reviews the evidence for the efficiency of different forms of intervention that are focused on reducing distress and limiting risks during the post-infarction period. Exercise programs in cardiac rehabilitation studies prove their impact on the recurrence of myocardial infarction (Brennan, 1997). The stress management programs help to reduce psychological distress and increase effective coping mechanisms, at least for a limited period of time (Brennan, 1997). The research studies assess the efficacy of many cardiac rehabilitation interventions. The other part of this article considers research into the efficiency of smoking cessation and type A behavior modification

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