How to apply the ambulatory cardiovascular rehabilitation: guidelines of the Working group for cardiovascular rehabilitation at Slovak Society of Cardiology

Česká verzia

Authors: Štefan Farský ¹; Viliam Rus ²; Katarína Sládeková ³
Authors place of work: Kardiologická ambulancia Domu srdca Martin, Slovenská republika ¹; Kardiologická ambulancia pri Agentúre sociálnych služieb Dubnica nad Váhom, Slovenská republika ²; Fyziatricko-rehabilitačné oddelenie Národného ústavu srdcovocievnych chorôb Bratislava, Slovenská republika ³
Published in the journal: Vnitř Lék 2017; 63(12): 972-979
Category: Guidelines

Summary

Authors have proposed a concept of guidelines for applying the ambulatory complex cardiovascular rehabilitation (ACCVR) into the clinical practice in Slovakia. As a background they have used an actual cardiovascular mortality and morbidity data from home country and abroad as well. They emphasize the non-optimal situation in this aspect which may not be solved by the increasing supporting the invasive revascularization methods and by the intensifying pharmacotherapy only, because the favourable effects of these procedures is timely missing if it is not accompanied by the therapeutic lifestyle changes. In this proposal the ACCVR is considered not as a regular, controlled physical training only, but there is included patient´s education, relaxation, stress management, behavioral changes and possible social support too. At the end of one 3 months lasting cycle of ACCVR there is subsumed a final test oriented on patient´s education and physical fitness levels and the continuing long-term contacts with him during following home-based training. Main parts of the concept are the concrete conditions which should by fulfilled as for as a personal, space and device equipment needed for accreditation so called cardiology stationary for ACCVR activities (in connection with cardiology department for out patients). Moreover, there are also included practical guidelines how to do patient´s stratification, how to send the patients to stationary, indications and contraindications, establishing of the training heart rate and training load, the composition of one cycle 3 months lasting, application of the progressive aerobic and resistance training and how to continue in home-based training. At the end the authors have proposed conditions which are needed to fulfil for a successful implementation of ACCVR into the health care system.

Key words:
cardiovascular rehabilitation for out patients – exercise training – home based training with telemonitoring control – progressive resistance training – relaxation and stress management

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