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. 1993;20(3):198–212.

Standard and alternative adjunctive treatments in cardiac rehabilitation.

J K Levy 1
PMCID: PMC325092  PMID: 8219823

Abstract

Cardiovascular rehabilitation is the process of restoring functional abilities degraded by a serious cardiovascular event or by a surgical procedure to preempt such an event. Cardiovascular rehabilitation also includes attempts to reverse risk factors that have contributed initially to the disease process. Rehabilitation programs generally comprise disease-related educational components, supervised prescriptive physical exercise, diet counseling and modification, cessation of tobacco use, psychoeducational interventions aimed at adjustment and coping, and relaxation and stress management to lower nonexertion-related sympathetic drive. The presence of so-called coronary-prone behavior patterns can be detected, and special behavioral modifications may be indicated to mitigate these putative risk factors. This paper reviews the roles of these behavioral adjuncts in treating cardiovascular disease and its aftermath, and notes new and unusual approaches to these components of treatment, such as alternative exercises, biofeedback, yoga, and other relaxation methods. Barriers to compliance are acknowledged, and enhancement of compliance is discussed briefly.

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Selected References

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  1. Ades P. A., Waldmann M. L., McCann W. J., Weaver S. O. Predictors of cardiac rehabilitation participation in older coronary patients. Arch Intern Med. 1992 May;152(5):1033–1035. [PubMed] [Google Scholar]
  2. Ades P. A., Waldmann M. L., Polk D. M., Coflesky J. T. Referral patterns and exercise response in the rehabilitation of female coronary patients aged greater than or equal to 62 years. Am J Cardiol. 1992 Jun 1;69(17):1422–1425. doi: 10.1016/0002-9149(92)90894-5. [DOI] [PubMed] [Google Scholar]
  3. Albright G. L., Andreassi J. L., Brockwell A. L. Effects of stress management on blood pressure and other cardiovascular variables. Int J Psychophysiol. 1991 Aug;11(2):213–217. doi: 10.1016/0167-8760(91)90014-o. [DOI] [PubMed] [Google Scholar]
  4. Althof S. E., Coffman C. B., Levine S. B. The effects of coronary bypass surgery on female sexual, psychological, and vocational adaptation. J Sex Marital Ther. 1984 Fall;10(3):176–184. doi: 10.1080/00926238408405943. [DOI] [PubMed] [Google Scholar]
  5. Anderson G. M., Grumbach K., Luft H. S., Roos L. L., Mustard C., Brook R. Use of coronary artery bypass surgery in the United States and Canada. Influence of age and income. JAMA. 1993 Apr 7;269(13):1661–1666. [PubMed] [Google Scholar]
  6. Baardman T., Fioretti P., van Tol A., Erdman R. A., van Meurs-van Woezik H., Kazemier M. Changes in plasma lipoproteins after cardiac rehabilitation in patients not on lipid-lowering drugs. Eur Heart J. 1990 Aug;11(8):722–729. doi: 10.1093/oxfordjournals.eurheartj.a059787. [DOI] [PubMed] [Google Scholar]
  7. Bain B. J., Rothwell M., Feher M. D., Robinson R., Brown J., Sever P. S. Acute changes in haematological parameters on cessation of smoking. J R Soc Med. 1992 Feb;85(2):80–82. doi: 10.1177/014107689208500209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Balady G. J., Weiner D. A., Rose L., Ryan T. J. Physiologic responses to arm ergometry exercise relative to age and gender. J Am Coll Cardiol. 1990 Jul;16(1):130–135. doi: 10.1016/0735-1097(90)90469-6. [DOI] [PubMed] [Google Scholar]
  9. Baun M. M., Bergstrom N., Langston N. F., Thoma L. Physiological effects of human/companion animal bonding. Nurs Res. 1984 May-Jun;33(3):126–129. [PubMed] [Google Scholar]
  10. Benowitz N. L. Cigarette smoking and nicotine addiction. Med Clin North Am. 1992 Mar;76(2):415–437. doi: 10.1016/s0025-7125(16)30360-1. [DOI] [PubMed] [Google Scholar]
  11. Bilodeau C. B., Hackett T. P. Issues raised in a group setting by patients recovering from myocardial infarction. Am J Psychiatry. 1971 Jul;128(1):73–78. doi: 10.1176/ajp.128.1.73. [DOI] [PubMed] [Google Scholar]
  12. Björntorp P. Effects of physical training on blood pressure in hypertension. Eur Heart J. 1987 May;8 (Suppl B):71–76. doi: 10.1093/eurheartj/8.suppl_b.71. [DOI] [PubMed] [Google Scholar]
  13. Blanchard E. B., McCoy G. C., Wittrock D., Musso A., Gerardi R. J., Pangburn L. A controlled comparison of thermal biofeedback and relaxation training in the treatment of essential hypertension: II. Effects on cardiovascular reactivity. Health Psychol. 1988;7(1):19–33. doi: 10.1037//0278-6133.7.1.19. [DOI] [PubMed] [Google Scholar]
  14. Blumenthal J. A., Rejeski W. J., Walsh-Riddle M., Emery C. F., Miller H., Roark S., Ribisl P. M., Morris P. B., Brubaker P., Williams R. S. Comparison of high- and low-intensity exercise training early after acute myocardial infarction. Am J Cardiol. 1988 Jan 1;61(1):26–30. doi: 10.1016/0002-9149(88)91298-2. [DOI] [PubMed] [Google Scholar]
  15. Blumenthal J. A., Williams R. S., Wallace A. G., Williams R. B., Jr, Needles T. L. Physiological and psychological variables predict compliance to prescribed exercise therapy in patients recovering from myocardial infarction. Psychosom Med. 1982 Dec;44(6):519–527. doi: 10.1097/00006842-198212000-00003. [DOI] [PubMed] [Google Scholar]
  16. Bohachick P. Progressive relaxation training in cardiac rehabilitation: effect on psychologic variables. Nurs Res. 1984 Sep-Oct;33(5):283–287. [PubMed] [Google Scholar]
  17. Breuer A. C., Furlan A. J., Hanson M. R., Lederman R. J., Loop F. D., Cosgrove D. M., Greenstreet R. L., Estafanous F. G. Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of 421 patients. Stroke. 1983 Sep-Oct;14(5):682–687. doi: 10.1161/01.str.14.5.682. [DOI] [PubMed] [Google Scholar]
  18. Brown D. D., Mucci W. G., Hetzler R. K., Knowlton R. G. Cardiovascular and ventilatory responses during formalized T'ai Chi Chuan exercise. Res Q Exerc Sport. 1989 Sep;60(3):246–250. doi: 10.1080/02701367.1989.10607447. [DOI] [PubMed] [Google Scholar]
  19. Brown P. C., Smith T. W. Social influence, marriage, and the heart: cardiovascular consequences of interpersonal control in husbands and wives. Health Psychol. 1992;11(2):88–96. doi: 10.1037//0278-6133.11.2.88. [DOI] [PubMed] [Google Scholar]
  20. Cannistra L. B., Balady G. J., O'Malley C. J., Weiner D. A., Ryan T. J. Comparison of the clinical profile and outcome of women and men in cardiac rehabilitation. Am J Cardiol. 1992 May 15;69(16):1274–1279. doi: 10.1016/0002-9149(92)91220-x. [DOI] [PubMed] [Google Scholar]
  21. Carmack B. J., Fila D. Animal-assisted therapy: a nursing intervention. Nurs Manage. 1989 May;20(5):96, 98, 100-1. [PubMed] [Google Scholar]
  22. Carpeggiani C., Landisman C., Montaron M. F., Skinner J. E. Cryoblockade in limbic brain (amygdala) prevents or delays ventricular fibrillation after coronary artery occlusion in psychologically stressed pigs. Circ Res. 1992 Mar;70(3):600–606. doi: 10.1161/01.res.70.3.600. [DOI] [PubMed] [Google Scholar]
  23. Chesney M. A., Ekman P., Friesen W. V., Black G. W., Hecker M. H. Type A behavior pattern: facial behavior and speech components. Psychosom Med. 1990 May-Jun;52(3):307–319. doi: 10.1097/00006842-199005000-00005. [DOI] [PubMed] [Google Scholar]
  24. Cole C. M., Levin E. M., Whitley J. O., Young S. H. Brief sexual counseling during cardiac rehabilitation. Heart Lung. 1979 Jan-Feb;8(1):124–129. [PubMed] [Google Scholar]
  25. Cole P. A., Pomerleau C. S., Harris J. K. The effects of nonconcurrent and concurrent relaxation training on cardiovascular reactivity to a psychological stressor. J Behav Med. 1992 Aug;15(4):407–414. doi: 10.1007/BF00844731. [DOI] [PubMed] [Google Scholar]
  26. Conn V. S., Taylor S. G., Abele P. B. Myocardial infarction survivors: age and gender differences in physical health, psychosocial state and regimen adherence. J Adv Nurs. 1991 Sep;16(9):1026–1034. doi: 10.1111/j.1365-2648.1991.tb03362.x. [DOI] [PubMed] [Google Scholar]
  27. Delmonte M. M. Physiological concomitants of meditation practice. Int J Psychosom. 1984;31(4):23–36. [PubMed] [Google Scholar]
  28. Diamond E. L., Schneiderman N., Schwartz D., Smith J. C., Vorp R., Pasin R. D. Harassment, hostility, and type A as determinants of cardiovascular reactivity during competition. J Behav Med. 1984 Jun;7(2):171–189. doi: 10.1007/BF00845385. [DOI] [PubMed] [Google Scholar]
  29. Dimsdale J. E., Hackett T. P. Effect of denial on cardiac health and psychological assessment. Am J Psychiatry. 1982 Nov;139(11):1477–1480. doi: 10.1176/ajp.139.11.1477. [DOI] [PubMed] [Google Scholar]
  30. Dracup K., Meleis A., Baker K., Edlefsen P. Family-focused cardiac rehabilitation. A role supplementation program for cardiac patients and spouses. Nurs Clin North Am. 1984 Mar;19(1):113–124. [PubMed] [Google Scholar]
  31. Dracup K., Moser D. K., Marsden C., Taylor S. E., Guzy P. M. Effects of a multidimensional cardiopulmonary rehabilitation program on psychosocial function. Am J Cardiol. 1991 Jul 1;68(1):31–34. doi: 10.1016/0002-9149(91)90705-p. [DOI] [PubMed] [Google Scholar]
  32. Duivenvoorden H. J., van Dixhoorn J. Predictability of psychic outcome for exercise training and exercise training including relaxation therapy after myocardial infarction. J Psychosom Res. 1991;35(4-5):569–578. doi: 10.1016/0022-3999(91)90051-o. [DOI] [PubMed] [Google Scholar]
  33. Eliot R. S., Buell J. C. Role of emotions and stress in the genesis of sudden death. J Am Coll Cardiol. 1985 Jun;5(6 Suppl):95B–98B. doi: 10.1016/s0735-1097(85)80535-0. [DOI] [PubMed] [Google Scholar]
  34. Ellis A. Group rational-emotive and cognitive-behavioral therapy. Int J Group Psychother. 1992 Jan;42(1):63–80. doi: 10.1080/00207284.1992.11732580. [DOI] [PubMed] [Google Scholar]
  35. Feher M. D., Rampling M. W., Brown J., Robinson R., Richmond W., Cholerton S., Bain B. J., Sever P. S. Acute changes in atherogenic and thrombogenic factors with cessation of smoking. J R Soc Med. 1990 Mar;83(3):146–148. doi: 10.1177/014107689008300306. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Fernhall B., Manfredi T. G., Congdon K. Prescribing water-based exercise from treadmill and arm ergometry in cardiac patients. Med Sci Sports Exerc. 1992 Jan;24(1):139–143. [PubMed] [Google Scholar]
  37. Fontana A. F., Kerns R. D., Rosenberg R. L., Colonese K. L. Support, stress, and recovery from coronary heart disease: a longitudinal causal model. Health Psychol. 1989;8(2):175–193. doi: 10.1037//0278-6133.8.2.175. [DOI] [PubMed] [Google Scholar]
  38. Frenn M. D., Borgeson D. S., Lee H. A., Simandl G. Life-style changes in a cardiac rehabilitation program: the client perspective. J Cardiovasc Nurs. 1989 Feb;3(2):43–55. doi: 10.1097/00005082-198902000-00006. [DOI] [PubMed] [Google Scholar]
  39. Froelicher V. F., Jr The detection of asympatomatic coronary artery disease. Annu Rev Med. 1977;28:1–12. doi: 10.1146/annurev.me.28.020177.000245. [DOI] [PubMed] [Google Scholar]
  40. Gammonley J., Yates J. Pet projects: animal assisted therapy in nursing homes. J Gerontol Nurs. 1991 Jan;17(1):12–15. doi: 10.3928/0098-9134-19910101-05. [DOI] [PubMed] [Google Scholar]
  41. Gerace T. A., Hollis J., Ockene J. K., Svendsen K. Smoking cessation and change in diastolic blood pressure, body weight, and plasma lipids. MRFIT Research Group. Prev Med. 1991 Sep;20(5):602–620. doi: 10.1016/0091-7435(91)90058-c. [DOI] [PubMed] [Google Scholar]
  42. Gerin W., Pieper C., Levy R., Pickering T. G. Social support in social interaction: a moderator of cardiovascular reactivity. Psychosom Med. 1992 May-Jun;54(3):324–336. doi: 10.1097/00006842-199205000-00008. [DOI] [PubMed] [Google Scholar]
  43. Gori P., Pivotti F., Masè N., Zucconi V., Scardi S. Compliance with cardiac rehabilitation in the elderly. Eur Heart J. 1984 Nov;5 (Suppl E):109–111. doi: 10.1093/eurheartj/5.suppl_e.109. [DOI] [PubMed] [Google Scholar]
  44. Gould K. L., Ornish D., Kirkeeide R., Brown S., Stuart Y., Buchi M., Billings J., Armstrong W., Ports T., Scherwitz L. Improved stenosis geometry by quantitative coronary arteriography after vigorous risk factor modification. Am J Cardiol. 1992 Apr 1;69(9):845–853. doi: 10.1016/0002-9149(92)90781-s. [DOI] [PubMed] [Google Scholar]
  45. Grossarth-Maticek R., Eysenck H. J. Prophylactic effects of psychoanalysis on cancer-prone and coronary heart disease-prone probands, as compared with control groups and behaviour therapy groups. J Behav Ther Exp Psychiatry. 1990 Jun;21(2):91–99. doi: 10.1016/0005-7916(90)90014-c. [DOI] [PubMed] [Google Scholar]
  46. Hackett T. P., Cassem N. H. Coping with cardiac disease. Adv Cardiol. 1982;31:212–217. doi: 10.1159/000407147. [DOI] [PubMed] [Google Scholar]
  47. Hackett T. Changing behavior following myocardial infarction. Adv Cardiol. 1986;33:100–108. doi: 10.1159/000413013. [DOI] [PubMed] [Google Scholar]
  48. Hamilton G. A. The importance of systematic inquiry in nursing research: An example; women and recovery from acute myocardial infarction. Vard Nord Utveckl Forsk. 1991 Summer;11(2):5–7. doi: 10.1177/010740839101100202. [DOI] [PubMed] [Google Scholar]
  49. Hammeke T. A., Hastings J. E. Neuropsychologic alterations after cardiac operation. J Thorac Cardiovasc Surg. 1988 Aug;96(2):326–331. [PubMed] [Google Scholar]
  50. Haralson M. K., Sargent R. G., Schluchter M. The relationship between knowledge of cardiovascular dietary risk and food shopping behaviors. Am J Prev Med. 1990 Nov-Dec;6(6):318–322. [PubMed] [Google Scholar]
  51. Hecker M. H., Chesney M. A., Black G. W., Frautschi N. Coronary-prone behaviors in the Western Collaborative Group Study. Psychosom Med. 1988 Mar-Apr;50(2):153–164. doi: 10.1097/00006842-198803000-00005. [DOI] [PubMed] [Google Scholar]
  52. Hedbäck B., Perk J. 5-year results of a comprehensive rehabilitation programme after myocardial infarction. Eur Heart J. 1987 Mar;8(3):234–242. doi: 10.1093/oxfordjournals.eurheartj.a062265. [DOI] [PubMed] [Google Scholar]
  53. Hedbäck B., Perk J. Can high-risk patients after myocardial infarction participate in comprehensive cardiac rehabilitation? Scand J Rehabil Med. 1990;22(1):15–20. [PubMed] [Google Scholar]
  54. Hertanu J. S., Davis L., Focseneanu M., Lahman L. Cardiac rehabilitation exercise program: outcome assessment. Arch Phys Med Rehabil. 1986 Jul;67(7):431–435. [PubMed] [Google Scholar]
  55. Horlick L., Cameron R., Firor W., Bhalerao U., Baltzan R. The effects of education and group discussion in the post myocardial infarction patient. J Psychosom Res. 1984;28(6):485–492. doi: 10.1016/0022-3999(84)90082-5. [DOI] [PubMed] [Google Scholar]
  56. Howard J. H., Rechnitzer P. A., Cunningham D. A., Wong D., Brown H. A. Type A behavior, personality, and sympathetic response. Behav Med. 1990 Winter;16(4):149–160. doi: 10.1080/08964289.1990.9934603. [DOI] [PubMed] [Google Scholar]
  57. Hyman D. J., Clark M., Houston-Miller N., Johannsson M., Ghandour G., Shah R., Debusk R. F. Cholesterol-related counseling by registered dietitians in northern California. Prev Med. 1992 Nov;21(6):746–753. doi: 10.1016/0091-7435(92)90081-r. [DOI] [PubMed] [Google Scholar]
  58. Ironson G., Taylor C. B., Boltwood M., Bartzokis T., Dennis C., Chesney M., Spitzer S., Segall G. M. Effects of anger on left ventricular ejection fraction in coronary artery disease. Am J Cardiol. 1992 Aug 1;70(3):281–285. doi: 10.1016/0002-9149(92)90605-x. [DOI] [PubMed] [Google Scholar]
  59. Irvine M. J., Johnston D. W., Jenner D. A., Marie G. V. Relaxation and stress management in the treatment of essential hypertension. J Psychosom Res. 1986;30(4):437–450. doi: 10.1016/0022-3999(86)90083-8. [DOI] [PubMed] [Google Scholar]
  60. Jin P. Changes in heart rate, noradrenaline, cortisol and mood during Tai Chi. J Psychosom Res. 1989;33(2):197–206. doi: 10.1016/0022-3999(89)90047-0. [DOI] [PubMed] [Google Scholar]
  61. Jin P. Efficacy of Tai Chi, brisk walking, meditation, and reading in reducing mental and emotional stress. J Psychosom Res. 1992 May;36(4):361–370. doi: 10.1016/0022-3999(92)90072-a. [DOI] [PubMed] [Google Scholar]
  62. Johnston B. L., Cantwell J. D., Fletcher G. F. Eight steps to inpatient cardiac rehabilitation: the team effort-methodology and preliminary results. Heart Lung. 1976 Jan-Feb;5(1):97–111. [PubMed] [Google Scholar]
  63. Johnston D. W. Psychological interventions in cardiovascular disease. J Psychosom Res. 1985;29(5):447–456. doi: 10.1016/0022-3999(85)90078-9. [DOI] [PubMed] [Google Scholar]
  64. Kauppinen K., Vuori I. Man in the sauna. Ann Clin Res. 1986;18(4):173–185. [PubMed] [Google Scholar]
  65. Koenig K. Recommendations of the scientific councils of the International Society and Federation of Cardiology on risk reduction after myocardial infarction. Adv Cardiol. 1986;33:28–39. doi: 10.1159/000413006. [DOI] [PubMed] [Google Scholar]
  66. Kuusinen J., Heinonen M. Immediate aftereffects of the Finnish sauna on psychomotor performance and mood. J Appl Psychol. 1972 Aug;56(4):336–340. doi: 10.1037/h0032942. [DOI] [PubMed] [Google Scholar]
  67. Levine J., Warrenburg S., Kerns R., Schwartz G., Delaney R., Fontana A., Gradman A., Smith S., Allen S., Cascione R. The role of denial in recovery from coronary heart disease. Psychosom Med. 1987 Mar-Apr;49(2):109–117. doi: 10.1097/00006842-198703000-00001. [DOI] [PubMed] [Google Scholar]
  68. Little N. G. Physical performance attributes of junior and senior women, juvenile, junior, and senior men judokas. J Sports Med Phys Fitness. 1991 Dec;31(4):510–520. [PubMed] [Google Scholar]
  69. Longworth J. C. Psychophysiological effects of slow stroke back massage in normotensive females. ANS Adv Nurs Sci. 1982 Jul;4(4):44–61. doi: 10.1097/00012272-198207000-00006. [DOI] [PubMed] [Google Scholar]
  70. MacDougall J. M., Dembroski T. M., Dimsdale J. E., Hackett T. P. Components of type A, hostility, and anger-in: further relationships to angiographic findings. Health Psychol. 1985;4(2):137–152. doi: 10.1037//0278-6133.4.2.137. [DOI] [PubMed] [Google Scholar]
  71. MacDougall J. M., Dembroski T. M., Slaats S., Herd J. A., Eliot R. S. Selective cardiovascular effects of stress and cigarette smoking. J Human Stress. 1983 Sep;9(3):13–21. doi: 10.1080/0097840X.1983.9936125. [DOI] [PubMed] [Google Scholar]
  72. Manske C. L., Wilson R. F., Wang Y., Thomas W. Prevalence of, and risk factors for, angiographically determined coronary artery disease in type I-diabetic patients with nephropathy. Arch Intern Med. 1992 Dec;152(12):2450–2455. [PubMed] [Google Scholar]
  73. Mayou R. Effectiveness of cardiac rehabilitation. J Psychosom Res. 1981;25(5):423–427. doi: 10.1016/0022-3999(81)90063-5. [DOI] [PubMed] [Google Scholar]
  74. McBride P. E. The health consequences of smoking. Cardiovascular diseases. Med Clin North Am. 1992 Mar;76(2):333–353. doi: 10.1016/s0025-7125(16)30356-x. [DOI] [PubMed] [Google Scholar]
  75. McLane M., Krop H., Mehta J. Psychosexual adjustment and counseling after myocardial infarction. Ann Intern Med. 1980 Apr;92(4):514–519. doi: 10.7326/0003-4819-92-4-514. [DOI] [PubMed] [Google Scholar]
  76. Miller N. E., Banuazizi A. Instrumental learning by curarized rats of a specific visceral response, intestinal or cardiac. J Comp Physiol Psychol. 1968 Feb;65(1):1–7. doi: 10.1037/h0025407. [DOI] [PubMed] [Google Scholar]
  77. Montgomery D. A., Amos R. J. Nutrition information needs during cardiac rehabilitation: perceptions of the cardiac patient and spouse. J Am Diet Assoc. 1991 Sep;91(9):1078–1083. [PubMed] [Google Scholar]
  78. Muskatel N., Woolfolk R. L., Carrington P., Lehrer P. M., McCann B. S. Effect of meditation training on aspects of coronary-prone behavior. Percept Mot Skills. 1984 Apr;58(2):515–518. doi: 10.2466/pms.1984.58.2.515. [DOI] [PubMed] [Google Scholar]
  79. Naughton J. Exercise training for patients with coronary artery disease. Cardiac rehabilitation revisited. Sports Med. 1992 Nov;14(5):304–319. doi: 10.2165/00007256-199214050-00003. [DOI] [PubMed] [Google Scholar]
  80. Neale A. V. Behavioural contracting as a tool to help patients achieve better health. Fam Pract. 1991 Dec;8(4):336–342. doi: 10.1093/fampra/8.4.336. [DOI] [PubMed] [Google Scholar]
  81. Newman S., Klinger L., Venn G., Smith P., Harrison M., Treasure T. Subjective reports of cognition in relation to assessed cognitive performance following coronary artery bypass surgery. J Psychosom Res. 1989;33(2):227–233. doi: 10.1016/0022-3999(89)90050-0. [DOI] [PubMed] [Google Scholar]
  82. Oldridge N. B. Cardiac rehabilitation exercise programme. Compliance and compliance-enhancing strategies. Sports Med. 1988 Jul;6(1):42–55. doi: 10.2165/00007256-198806010-00005. [DOI] [PubMed] [Google Scholar]
  83. Oldridge N. B., Stoedefalke K. G. Compliance and motivation in cardiac exercise programs. Clin Sports Med. 1984 Apr;3(2):443–454. [PubMed] [Google Scholar]
  84. Oldridge N., Guyatt G., Jones N., Crowe J., Singer J., Feeny D., McKelvie R., Runions J., Streiner D., Torrance G. Effects on quality of life with comprehensive rehabilitation after acute myocardial infarction. Am J Cardiol. 1991 May 15;67(13):1084–1089. doi: 10.1016/0002-9149(91)90870-q. [DOI] [PubMed] [Google Scholar]
  85. Ornish D., Brown S. E., Scherwitz L. W., Billings J. H., Armstrong W. T., Ports T. A., McLanahan S. M., Kirkeeide R. L., Brand R. J., Gould K. L. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet. 1990 Jul 21;336(8708):129–133. doi: 10.1016/0140-6736(90)91656-u. [DOI] [PubMed] [Google Scholar]
  86. Ornish D., Scherwitz L. W., Doody R. S., Kesten D., McLanahan S. M., Brown S. E., DePuey E., Sonnemaker R., Haynes C., Lester J. Effects of stress management training and dietary changes in treating ischemic heart disease. JAMA. 1983 Jan 7;249(1):54–59. [PubMed] [Google Scholar]
  87. Papadopoulos C., Beaumont C., Shelley S. I., Larrimore P. Myocardial infarction and sexual activity of the female patient. Arch Intern Med. 1983 Aug;143(8):1528–1530. [PubMed] [Google Scholar]
  88. Pashkow F. J. Issues in contemporary cardiac rehabilitation: a historical perspective. J Am Coll Cardiol. 1993 Mar 1;21(3):822–834. doi: 10.1016/0735-1097(93)90116-i. [DOI] [PubMed] [Google Scholar]
  89. Patel C. H. Yoga and bio-feedback in the management of hypertension. Lancet. 1973 Nov 10;2(7837):1053–1055. doi: 10.1016/s0140-6736(73)92660-3. [DOI] [PubMed] [Google Scholar]
  90. Patel C. 12-month follow-up of yoga and bio-feedback in the management of hypertension. Lancet. 1975 Jan 11;1(7898):62–64. doi: 10.1016/s0140-6736(75)91070-3. [DOI] [PubMed] [Google Scholar]
  91. Patel C., Carruthers M. Coronary risk factor reduction through biofeedback-aided relaxation and meditation. J R Coll Gen Pract. 1977 Jul;27(180):401–405. [PMC free article] [PubMed] [Google Scholar]
  92. Patel C., Marmot M. G., Terry D. J., Carruthers M., Hunt B., Patel M. Trial of relaxation in reducing coronary risk: four year follow up. Br Med J (Clin Res Ed) 1985 Apr 13;290(6475):1103–1106. doi: 10.1136/bmj.290.6475.1103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  93. Patel C. Yoga and biofeedback in the management of 'stress' in hypertensive patients. Clin Sci Mol Med Suppl. 1975 Jun;2:171s–174s. doi: 10.1042/cs048171s. [DOI] [PubMed] [Google Scholar]
  94. Petri M., Spence D., Bone L. R., Hochberg M. C. Coronary artery disease risk factors in the Johns Hopkins Lupus Cohort: prevalence, recognition by patients, and preventive practices. Medicine (Baltimore) 1992 Sep;71(5):291–302. doi: 10.1097/00005792-199209000-00004. [DOI] [PubMed] [Google Scholar]
  95. Priebe M., Davidoff G., Lampman R. M. Exercise testing and training in patients with peripheral vascular disease and lower extremity amputation. West J Med. 1991 May;154(5):598–601. [PMC free article] [PubMed] [Google Scholar]
  96. Pérez-González J. F. Clinical applications of stress reduction interventions in the rehabilitation of postcoronary patients. Adv Cardiol. 1986;33:116–121. doi: 10.1159/000413015. [DOI] [PubMed] [Google Scholar]
  97. Raft D., McKee D. C., Popio K. A., Haggerty J. J., Jr Life adaptation after percutaneous transluminal coronary angioplasty and coronary artery bypass grafting. Am J Cardiol. 1985 Sep 1;56(7):395–398. doi: 10.1016/0002-9149(85)90873-2. [DOI] [PubMed] [Google Scholar]
  98. Rahe R. H., Ward H. W., Hayes V. Brief group therapy in myocardial infarction rehabilitation: three- to four-year follow-up of a controlled trial. Psychosom Med. 1979 May;41(3):229–242. doi: 10.1097/00006842-197905000-00006. [DOI] [PubMed] [Google Scholar]
  99. Razin A. M. Psychosocial intervention in coronary artery disease: a review. Psychosom Med. 1982 Sep;44(4):363–387. doi: 10.1097/00006842-198209000-00005. [DOI] [PubMed] [Google Scholar]
  100. Ribeiro J. P., Hartley L. H., Sherwood J., Herd J. A. The effectiveness of a low lipid diet and exercise in the management of coronary artery disease. Am Heart J. 1984 Nov;108(5):1183–1189. doi: 10.1016/0002-8703(84)90740-3. [DOI] [PubMed] [Google Scholar]
  101. Riegel B. Social support and psychological adjustment to chronic coronary heart disease: operationalization of Johnson's behavioral system model. ANS Adv Nurs Sci. 1989 Jan;11(2):74–84. doi: 10.1097/00012272-198901000-00011. [DOI] [PubMed] [Google Scholar]
  102. Roemer W. W. An application of the interpersonal models developed by Karen Horney and Timothy Leary to type A-B behavior patterns. Am J Psychoanal. 1987 Summer;47(2):116–130. doi: 10.1007/BF01253025. [DOI] [PubMed] [Google Scholar]
  103. Roviaro S., Holmes D. S., Holmsten R. D. Influence of a cardiac rehabilitation program on the cardiovascular, psychological, and social functioning of cardiac patients. J Behav Med. 1984 Mar;7(1):61–81. doi: 10.1007/BF00845347. [DOI] [PubMed] [Google Scholar]
  104. Royal L. R., Schutt D. C., Selle R. I., Jr, Steele J. I., Jr Family Practice Grand Rounds. The cardiac cripple. J Fam Pract. 1979 Nov;9(5):929–934. [PubMed] [Google Scholar]
  105. Samet J. M. The health benefits of smoking cessation. Med Clin North Am. 1992 Mar;76(2):399–414. doi: 10.1016/s0025-7125(16)30359-5. [DOI] [PubMed] [Google Scholar]
  106. Samitz G. Aerobes Oberkörpertraining. Ein ungenütztes Potential in der Trainingstherapie. Wien Med Wochenschr. 1992;142(14):309–313. [PubMed] [Google Scholar]
  107. Scherwitz L. W., Perkins L. L., Chesney M. A., Hughes G. H., Sidney S., Manolio T. A. Hostility and health behaviors in young adults: the CARDIA Study. Coronary Artery Risk Development in Young Adults Study. Am J Epidemiol. 1992 Jul 15;136(2):136–145. doi: 10.1093/oxfordjournals.aje.a116480. [DOI] [PubMed] [Google Scholar]
  108. Schlesinger Z., Segev U. Rehabilitation of patients after acute myocardial infarction. An interdisciplinary family-oriented program. Adv Cardiol. 1982;31:226–231. doi: 10.1159/000407150. [DOI] [PubMed] [Google Scholar]
  109. Schneider D., Leung R. Metabolic and cardiorespiratory responses to the performance of Wing Chun and T'ai Chi Chuan exercise. Int J Sports Med. 1991 Jun;12(3):319–323. doi: 10.1055/s-2007-1024689. [DOI] [PubMed] [Google Scholar]
  110. Schwartz J. L. Methods of smoking cessation. Med Clin North Am. 1992 Mar;76(2):451–476. doi: 10.1016/s0025-7125(16)30362-5. [DOI] [PubMed] [Google Scholar]
  111. Shahidi S., Salmon P. Contingent and non-contingent biofeedback training for Type A and B healthy adults: can Type As relax by competing? J Psychosom Res. 1992 Jul;36(5):477–483. doi: 10.1016/0022-3999(92)90008-p. [DOI] [PubMed] [Google Scholar]
  112. Shaw P. J., Bates D., Cartlidge N. E., Heaviside D., Julian D. G., Shaw D. A. Early neurological complications of coronary artery bypass surgery. Br Med J (Clin Res Ed) 1985 Nov 16;291(6506):1384–1387. doi: 10.1136/bmj.291.6506.1384. [DOI] [PMC free article] [PubMed] [Google Scholar]
  113. Skinner J. E. Neurocardiology shows that the central, not peripheral, action of propranolol reduces mortality following acute coronary artery occlusion in the conscious pig. Integr Physiol Behav Sci. 1991 Apr-Jun;26(2):85–97. doi: 10.1007/BF02691030. [DOI] [PubMed] [Google Scholar]
  114. Skinner J. E., Reed J. C. Blockade of frontocortical-brain stem pathway prevents ventricular fibrillation of ischemic heart. Am J Physiol. 1981 Feb;240(2):H156–H163. doi: 10.1152/ajpheart.1981.240.2.H156. [DOI] [PubMed] [Google Scholar]
  115. Skinner J. E. Regulation of cardiac vulnerability by the cerebral defense system. J Am Coll Cardiol. 1985 Jun;5(6 Suppl):88B–94B. doi: 10.1016/s0735-1097(85)80534-9. [DOI] [PubMed] [Google Scholar]
  116. Squires R. W., Gau G. T., Miller T. D., Allison T. G., Lavie C. J. Cardiovascular rehabilitation: status, 1990. Mayo Clin Proc. 1990 May;65(5):731–755. doi: 10.1016/s0025-6196(12)65134-9. [DOI] [PubMed] [Google Scholar]
  117. Strauss B., Paulsen G., Strenge H., Graetz S., Regensburger D., Speidel H. Preoperative and late postoperative psychosocial state following coronary artery bypass surgery. Thorac Cardiovasc Surg. 1992 Apr;40(2):59–64. doi: 10.1055/s-2007-1020113. [DOI] [PubMed] [Google Scholar]
  118. Sturgis L. M., Coe W. C. Physiological responsiveness during hypnosis. Int J Clin Exp Hypn. 1990 Jul;38(3):196–207. doi: 10.1080/00207149008414518. [DOI] [PubMed] [Google Scholar]
  119. Sudakov K. V., Sinitchkin V. V., Khasanov A. A. Systemic responses in man exposed to different heating and cooling treatment in a sauna. Pavlov J Biol Sci. 1988 Jul-Sep;23(3):89–94. doi: 10.1007/BF02701280. [DOI] [PubMed] [Google Scholar]
  120. Thorén P., Floras J. S., Hoffmann P., Seals D. R. Endorphins and exercise: physiological mechanisms and clinical implications. Med Sci Sports Exerc. 1990 Aug;22(4):417–428. [PubMed] [Google Scholar]
  121. Todd I. C., Wosornu D., Stewart I., Wild T. Cardiac rehabilitation following myocardial infarction. A practical approach. Sports Med. 1992 Oct;14(4):243–259. doi: 10.2165/00007256-199214040-00003. [DOI] [PubMed] [Google Scholar]
  122. Verrill D., Shoup E., McElveen G., Witt K., Bergey D. Resistive exercise training in cardiac patients. Recommendations. Sports Med. 1992 Mar;13(3):171–193. doi: 10.2165/00007256-199213030-00003. [DOI] [PubMed] [Google Scholar]
  123. Wabrek A. J., Burchell R. C. Male sexual dysfunction associated with coronary heart disease. Arch Sex Behav. 1980 Feb;9(1):69–75. doi: 10.1007/BF01541402. [DOI] [PubMed] [Google Scholar]
  124. Wain H. J., Amen D. G., Oetgen W. J. Cardiac arrhythmias and hypnotic intervention: advantages, disadvantages, precautions, and theoretical considerations. Am J Clin Hypn. 1983 Jul;26(1):1–4. doi: 10.1080/00029157.1983.10404129. [DOI] [PubMed] [Google Scholar]
  125. Wain H., Amen D. G., Oetgen W. J. Hypnotic intervention in cardiac arrhythmias: advantages, disadvantages, precautions, and theoretical considerations. Am J Clin Hypn. 1984 Jul;27(1):70–75. doi: 10.1080/00029157.1984.10402592. [DOI] [PubMed] [Google Scholar]
  126. Watts R. J. Sexuality and the middle-aged cardiac patient. Nurs Clin North Am. 1976 Jun;11(2):349–359. [PubMed] [Google Scholar]
  127. Weaver R. C., Rodnick J. E. Type A behavior: clinical significance, evaluation, and management. J Fam Pract. 1986 Sep;23(3):255–261. [PubMed] [Google Scholar]
  128. Williams R. B., Barefoot J. C., Califf R. M., Haney T. L., Saunders W. B., Pryor D. B., Hlatky M. A., Siegler I. C., Mark D. B. Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. JAMA. 1992 Jan 22;267(4):520–524. [PubMed] [Google Scholar]
  129. Williams R. B., Jr Refining the type A hypothesis: emergence of the hostility complex. Am J Cardiol. 1987 Dec 28;60(18):27J–32J. doi: 10.1016/0002-9149(87)90680-1. [DOI] [PubMed] [Google Scholar]
  130. Williams R. B., Jr, Suarez E. C., Kuhn C. M., Zimmerman E. A., Schanberg S. M. Biobehavioral basis of coronary-prone behavior in middle-aged men. Part I: Evidence for chronic SNS activation in Type As. Psychosom Med. 1991 Sep-Oct;53(5):517–527. doi: 10.1097/00006842-199109000-00003. [DOI] [PubMed] [Google Scholar]
  131. Winocour P. H., Durrington P. N., Bhatnagar D., Mbewu A. D., Ishola M., Mackness M., Arrol S. A cross-sectional evaluation of cardiovascular risk factors in coronary heart disease associated with type 1 (insulin-dependent) diabetes mellitus. Diabetes Res Clin Pract. 1992 Dec;18(3):173–184. doi: 10.1016/0168-8227(92)90143-f. [DOI] [PubMed] [Google Scholar]
  132. Winterfeld H. J., Siewert H., Strangfeld D., Warnke H., Kruse J., Engelmann U. Möglichkeiten des Einsatzes der Sauna in der Langzeitbehandlung von hypertonen Herz-Kreislauf-Regulationsstörungen--ein Vergleich zur Kinesiotherapie. Schweiz Rundsch Med Prax. 1992 Aug 25;81(35):1016–1020. [PubMed] [Google Scholar]
  133. Yao T., Andersson S., Thorén P. Long-lasting cardiovascular depression induced by acupuncture-like stimulation of the sciatic nerve in unanaesthetized spontaneously hypertensive rats. Brain Res. 1982 May 20;240(1):77–85. doi: 10.1016/0006-8993(82)90645-x. [DOI] [PubMed] [Google Scholar]
  134. Zhuo D., Shephard R. J., Plyley M. J., Davis G. M. Cardiorespiratory and metabolic responses during Tai Chi Chuan exercise. Can J Appl Sport Sci. 1984 Mar;9(1):7–10. [PubMed] [Google Scholar]
  135. van Alsté J. A., la Haye M. W., Huisman K., de Vries J., Boom H. B. Exercise electrocardiography using rowing ergometry suitable for leg amputees. Int Rehabil Med. 1985;7(1):1–5. doi: 10.3109/03790798509165968. [DOI] [PubMed] [Google Scholar]
  136. van Dixhoorn J., Duivenvoorden H. J., Staal H. A., Pool J. Physical training and relaxation therapy in cardiac rehabilitation assessed through a composite criterion for training outcome. Am Heart J. 1989 Sep;118(3):545–552. doi: 10.1016/0002-8703(89)90271-8. [DOI] [PubMed] [Google Scholar]
  137. van Dixhoorn J., Duivenvoorden H. J., Staal J. A., Pool J., Verhage F. Cardiac events after myocardial infarction: possible effect of relaxation therapy. Eur Heart J. 1987 Nov;8(11):1210–1214. doi: 10.1093/oxfordjournals.eurheartj.a062194. [DOI] [PubMed] [Google Scholar]
  138. van Dixhoorn J., de Loos J., Duivenvoorden H. J. Contribution of relaxation technique training to the rehabilitation of myocardial infarction patients. Psychother Psychosom. 1983;40(1-4):137–147. doi: 10.1159/000287761. [DOI] [PubMed] [Google Scholar]

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