By William Kraus, Steven Keteyian

This quantity serves as a guide to prone concerning 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 includes theoretical, useful, and updated cardiac rehabilitation info, together with the recent middle for Medicare and Medicaid providers (CMS) directions for compensation. The publication bargains various, accomplished chapters, from nutrients to programmatic concerns. 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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If this is not available, then the intensity level can be set based on a percentage of peak-estimated metabolic equivalents (METs) achieved or by using the heart rate reserve method to determine a training heart rate range. The exercise test is also important in these individuals for common reasons in cardiac rehabilitation including assessment for ischemia, arrhythmias, and hemodynamic decompensation that might be used to limit the exercise intensity. A recent study of the effect of exercise intensity on weight loss suggests that intensity does not make a difference in the amount of weight lost but that higher intensity exercise is better for improvements in functional capacity and possibly results in an increased daily physical activity level (29).

This suggests that this range of weight loss would be a reasonable initial goal for most patients. However, research indicates that women, despite targeted education regarding the 5–10% weight loss benefits, indicate that they would be disappointed with a 17% weight loss; and the average desired weight loss is about 25% (22). This may have a negative effect on weight loss success, especially if the treatment program is not tailored to meet the desired outcomes of the patient. On the basis of this type of aggressive goal setting, either more directed education about the positive effects of a lower weight loss total or more aggressive weight loss strategies to achieve desired results should be implemented.

In ischemic patients, one can expect an improved ischemic threshold. Overall, at submaximal work rates, heart rate, blood pressure, and perceived exertion values will be reduced, requiring a progressive increase in absolute exercise work rate to maintain exercise intensity levels. In addition, the National Weight Control Registry shows that exercise is critical for prevention of weight regain (26). These data suggest that a large volume of exercise (80–90 min per day) needs to be performed each day to maintain weight loss.

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Cardiac Rehabilitation (Contemporary Cardiology) by William Kraus, Steven Keteyian
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