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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 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