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Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs 5th Edition With Web Resource

Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs 5th Edition With Web Resource


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    Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fifth Edition With Web Resource, covers the entire scope of practice for cardiac rehabilitation and secondary prevention (CR/SP) programs. This text was developed by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) and parallels federal guidelines for cardiac rehabilitation programs. It contains information on promoting positive lifestyle behavior patterns, reducing risk factors for disease progression, and lessening the impact of cardiovascular disease on quality of life, morbidity, and mortality.

    The text has been updated and restructured, providing the most current models for designing and updating rehabilitation programs for patients and preventing second episodes. In addition to chapter revisions, there is new content on behavior modification, risk factors, and special populations. The chapter covering program administration has been completely rewritten to include new regulations and reimbursement standards as well as additional suggestions for new models for CR/SP. The most recent Core Competencies for Cardiac Rehabilitation and Secondary Prevention Professionals and the Core Components of Cardiac Rehabilitation/Secondary Prevention Programs have also been included in their entirety.

    More than 50 leaders in the field of CR/SP, cardiovascular risk reduction, reimbursement, and public policy have contributed the latest tools and information, enabling cardiac rehabilitation professionals to successfully start new programs or update and enhance existing ones. Key features of the fifth edition include the following:

    • A new web resource incorporates 24 questionnaires, charts, consent forms, protocols, records, checklists, and logs from the text that can be used when creating or assessing programs.

    • Highlighted guidelines in each chapter cover current issues and provide hints and methods for implementing treatment programs and helping patients stay on track.

    • Chapter objectives and summaries help readers quickly assess the topics covered and identify the most important points.

    There is strong evidence that participation in outpatient cardiac rehabilitation and secondary prevention programs decreases mortality and recurrent morbidity after a cardiac event. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs, Fifth Edition, offers procedures for providing patients with low-cost, high-quality programming, moving them toward personal responsibility for disease management and secondary prevention over a lifetime. This is the definitive resource for developing inpatient and outpatient cardiac rehabilitation programs.


    Reference for cardiac rehabilitation specialists, American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) members, exercise physiologists, physical therapists, cardiologists, physicians, nurses, cardiac rehabilitation educators and students, clinical program directors, health care agencies, and insurers.

    Table of Contents


    Chapter 1. Cardiac Rehabilitation, Secondary Prevention Programs, and the Evolution of Health Care
    Providing Optimal Care for All Patients
    Cardiac Rehabilitation: Finding Its Place in the Evolving Health Care Arena
    Cardiac Rehabilitation Programs as Secondary Prevention Centers

    Chapter 2. The Continuum of Care: From Inpatient and Outpatient Cardiac Rehabilitation to Long-Term Secondary Prevention
    Cardiovascular Continuum of Care
    Efforts to Reduce Gaps in the Continuum of Care
    The Role of CR in the Continuum of Care
    Putting It All Together

    Chapter 3. Behavior Modification and Risk Factor Reduction: Guiding Principles and Practices
    Overview of Patient Education and Health Behavior Change

    Chapter 4. Nutrition Guidelines
    Dietary Patterns
    Obesity and Weight Control
    Fat Versus Sugar Intake
    Anti-Inflammatory Diet
    Dietary Supplements
    Relevant Guideline Updates

    Chapter 5. Cardiac Rehabilitation in the Inpatient and Transitional Settings
    Assessment, Mobilization, and Risk-Factor Management
    Discharge Planning
    Clinical Pathways
    Space and Equipment
    Transitional Programming

    Chapter 6. Medical Evaluation and Exercise Testing
    Physical Examination
    Risk Stratification and Identification of Contraindications for Exercise Training

    Chapter 7. Outpatient Cardiovascular Rehabilitation and Secondary Prevention
    Structure of Secondary Prevention
    Coaching and Case Management
    Assessment and Management of Risk Factors for Disease Progression
    Innovation in CR/SP
    Maintenance CR/SP
    Implementation of Secondary Prevention

    Chapter 8. Modifiable Cardiovascular Disease Risk Factors
    Tobacco Use
    Abnormal Lipids
    Physical Inactivity
    Psychosocial Considerations
    Overweight and Obesity
    Emerging Risk Factors

    Chapter 9. Special Populations
    Older and Younger Adults
    Racial and Cultural Diversity
    Revascularization and Valve Surgery
    Heart Failure and Left Ventricular Assist Devices
    Cardiac Transplantation
    Peripheral Arterial Disease
    Chronic Lung Disease

    Chapter 10. Program Administration
    Program Priorities
    Facilities and Equipment
    Organizational Policies and Procedures
    Insurance and Reimbursement
    Continuum of Care and Services

    Chapter 11. Outcomes
    Outcome Matrix
    Outcomes In Contrast To Performance Measures

    Chapter 12. Management of Medical Problems and Emergencies
    Potential Risks in Outpatient CR/SP
    Intervention Summary
    Nontraditional Programs


    About the AACVPR

    About the Editor

    The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is the worldwide leader in promoting the value and practice of cardiovascular and pulmonary rehabilitation. AACVPR's mission is improving the quality of life for patients and their families by reducing morbidity, mortality, and disability from cardiovascular and pulmonary diseases through education, prevention, rehabilitation, research, and aggressive disease management.


    “The 5th edition of the American Association of Cardiovascular and Pulmonary Rehabilitation’s Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs is an essential resource for new or established CR/SP programs. The book not only contains information and tools to provide excellent patient care in these settings, but it also addresses many of the barriers and gaps that exist in providing these services to all qualified individuals.”

    --Therapeutic Recreation Journal

    “This is a welcome update. This book remains a highly dependable source of information for professionals that is easy to read and reference.”

    --Doody’s Book Review (5 star review)


    All ancillary materials for this text are FREE to course adopters and available at

    Web resource. Includes 24 reproducible questionnaires, charts, consent forms, protocols, records, checklists, and logs for use in creating or assessing programs. These are also found within the book, providing users with practical information to support their work. The web resource will also serve as a location for AACVPR to post biannual updates to book content, as necessary, keeping the guidelines up to date between editions of the text.

    Sample Content

       Chapter 4 ReferencesChapter 4 References