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. 1996 Jan;75(1):89–93. doi: 10.1136/hrt.75.1.89

Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London.

D R Thompson 1, G S Bowman 1, A L Kitson 1, D P de Bono 1, A Hopkins 1
PMCID: PMC484231  PMID: 8624882

Abstract

This paper summarises a multidisciplinary workshop convened to prepare clinical guidelines and audit standards in cardiac rehabilitation in the United Kingdom. The workshop developed a three element model of the rehabilitation process and identified needs relating to medical and psychosocial care and the potential contributions of exercise, education, secondary prevention, and vocational advice. Draft clinical standards are proposed as a basis for locally developed guidelines and further research.

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Selected References

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  1. Ades P. A., Huang D., Weaver S. O. Cardiac rehabilitation participation predicts lower rehospitalization costs. Am Heart J. 1992 Apr;123(4 Pt 1):916–921. doi: 10.1016/0002-8703(92)90696-s. [DOI] [PubMed] [Google Scholar]
  2. BENTON J. G., RUSK H. A. The patient with cardiovascular disease and rehabilitation: the third phase of medical care. Circulation. 1953 Sep;8(3):417–426. doi: 10.1161/01.cir.8.3.417. [DOI] [PubMed] [Google Scholar]
  3. Borg G. A. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–381. [PubMed] [Google Scholar]
  4. Boudrez H., De Backer G., Comhaire B. Return to work after myocardial infarction: results of a longitudinal population based study. Eur Heart J. 1994 Jan;15(1):32–36. doi: 10.1093/oxfordjournals.eurheartj.a060376. [DOI] [PubMed] [Google Scholar]
  5. Chua T. P., Lipkin D. P. Cardiac rehabilitation. BMJ. 1993 Mar 20;306(6880):731–732. doi: 10.1136/bmj.306.6880.731. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Cross S. J., Lee H. S., Kenmure A., Walton S., Jennings K. First myocardial infarction in patients under 60 years old: the role of exercise tests and symptoms in deciding whom to catheterise. Br Heart J. 1993 Nov;70(5):428–432. doi: 10.1136/hrt.70.5.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. De Bono D. P., Hopkins A. The management of acute myocardial infarction: guidelines and audit standards. Report of a workshop of the Joint Audit Committee of the British Cardiac Society and the Royal College of Physicians. J R Coll Physicians Lond. 1994 Jul-Aug;28(4):312–317. [PMC free article] [PubMed] [Google Scholar]
  8. DeBusk R. F., Houston N., Haskell W., Fry G., Parker M. Exercise training soon after myocardial infarction. Am J Cardiol. 1979 Dec;44(7):1223–1229. doi: 10.1016/0002-9149(79)90433-8. [DOI] [PubMed] [Google Scholar]
  9. Doherty E. S., Power P. W. Identifying the needs of coronary patient wife-caregivers: implications for social workers. Health Soc Work. 1990 Nov;15(4):291–299. doi: 10.1093/hsw/15.4.291. [DOI] [PubMed] [Google Scholar]
  10. Eccles M., Bradshaw C. Use of secondary prophylaxis against myocardial infarction in the north of England. BMJ. 1991 Jan 12;302(6768):91–92. doi: 10.1136/bmj.302.6768.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Ehsani A. A., Biello D. R., Schultz J., Sobel B. E., Holloszy J. O. Improvement of left ventricular contractile function by exercise training in patients with coronary artery disease. Circulation. 1986 Aug;74(2):350–358. doi: 10.1161/01.cir.74.2.350. [DOI] [PubMed] [Google Scholar]
  12. Greenland P., Chu J. S. Efficacy of cardiac rehabilitation services. With emphasis on patients after myocardial infarction. Ann Intern Med. 1988 Oct 15;109(8):650–663. doi: 10.7326/0003-4819-109-8-650. [DOI] [PubMed] [Google Scholar]
  13. 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]
  14. Horgan J., Bethell H., Carson P., Davidson C., Julian D., Mayou R. A., Nagle R. Working party report on cardiac rehabilitation. Br Heart J. 1992 May;67(5):412–418. doi: 10.1136/hrt.67.5.412. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Hung J., Gordon E. P., Houston N., Haskell W. L., Goris M. L., DeBusk R. F. Changes in rest and exercise myocardial perfusion and left ventricular function 3 to 26 weeks after clinically uncomplicated acute myocardial infarction: effects of exercise training. Am J Cardiol. 1984 Nov 1;54(8):943–950. doi: 10.1016/s0002-9149(84)80123-x. [DOI] [PubMed] [Google Scholar]
  16. Irvine J., Petch M. Fitness to drive: updated guidelines for cardiovascular fitness in vocational drivers. Honorary Advisory Panel on Driving and Disorders of the Cardiovascular System. Health Trends. 1994;26(2):38–40. [PubMed] [Google Scholar]
  17. Ladwig K. H., Lehmacher W., Roth R., Breithardt G., Budde T., Borggrefe M. Factors which provoke post-infarction depression: results from the post-infarction late potential study (PILP). J Psychosom Res. 1992 Dec;36(8):723–729. doi: 10.1016/0022-3999(92)90130-t. [DOI] [PubMed] [Google Scholar]
  18. Levin L. A., Perk J., Hedbäck B. Cardiac rehabilitation--a cost analysis. J Intern Med. 1991 Nov;230(5):427–434. doi: 10.1111/j.1365-2796.1991.tb00468.x. [DOI] [PubMed] [Google Scholar]
  19. Lewin B., Robertson I. H., Cay E. L., Irving J. B., Campbell M. Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services. Lancet. 1992 Apr 25;339(8800):1036–1040. doi: 10.1016/0140-6736(92)90547-g. [DOI] [PubMed] [Google Scholar]
  20. Lindsay C., Jennrich J. A., Biemolt M. Programmed instruction booklet for cardiac rehabilitation teaching. Heart Lung. 1991 Nov;20(6):648–653. [PubMed] [Google Scholar]
  21. Maeland J. G., Havik O. E. After the myocardial infarction. A medical and psychological study with special emphasis on perceived illness. Scand J Rehabil Med Suppl. 1989;22:1–87. [PubMed] [Google Scholar]
  22. Miller P., Wikoff R., McMahon M., Garrett M. J., Ringel K., Collura D., Siniscalchi K., Sommer S., Welsh N. Personal adjustments and regimen compliance 1 year after myocardial infarction. Heart Lung. 1989 Jul;18(4):339–346. [PubMed] [Google Scholar]
  23. Murray R. G. Which patients should have exercise testing after myocardial infarction treated by thrombolysis? Br Heart J. 1993 Nov;70(5):399–399. doi: 10.1136/hrt.70.5.399. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Northridge D. B., Shandall A., Rees A., Buchalter M. B. Inadequate management of hyperlipidaemia after coronary bypass surgery shown by medical audit. Br Heart J. 1994 Nov;72(5):466–467. doi: 10.1136/hrt.72.5.466. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. O'Connor G. T., Buring J. E., Yusuf S., Goldhaber S. Z., Olmstead E. M., Paffenbarger R. S., Jr, Hennekens C. H. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. 1989 Aug;80(2):234–244. doi: 10.1161/01.cir.80.2.234. [DOI] [PubMed] [Google Scholar]
  26. Oldridge N., Furlong W., Feeny D., Torrance G., Guyatt G., Crowe J., Jones N. Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction. Am J Cardiol. 1993 Jul 15;72(2):154–161. doi: 10.1016/0002-9149(93)90152-3. [DOI] [PubMed] [Google Scholar]
  27. Paffenbarger R. S., Jr, Hyde R. T. Exercise in the prevention of coronary heart disease. Prev Med. 1984 Jan;13(1):3–22. doi: 10.1016/0091-7435(84)90037-9. [DOI] [PubMed] [Google Scholar]
  28. Picard M. H., Dennis C., Schwartz R. G., Ahn D. K., Kraemer H. C., Berger W. E., 3rd, Blumberg R., Heller R., Lew H., DeBusk R. F. Cost-benefit analysis of early return to work after uncomplicated acute myocardial infarction. Am J Cardiol. 1989 Jun 1;63(18):1308–1314. doi: 10.1016/0002-9149(89)91040-0. [DOI] [PubMed] [Google Scholar]
  29. Raleigh E. H., Odtohan B. C. The effect of a cardiac teaching program on patient rehabilitation. Heart Lung. 1987 May;16(3):311–317. [PubMed] [Google Scholar]
  30. Rodriguez B. L., Curb J. D., Burchfiel C. M., Abbott R. D., Petrovitch H., Masaki K., Chiu D. Physical activity and 23-year incidence of coronary heart disease morbidity and mortality among middle-aged men. The Honolulu Heart Program. Circulation. 1994 Jun;89(6):2540–2544. doi: 10.1161/01.cir.89.6.2540. [DOI] [PubMed] [Google Scholar]
  31. Shanfield S. B. Return to work after an acute myocardial infarction: a review. Heart Lung. 1990 Mar;19(2):109–117. [PubMed] [Google Scholar]
  32. Stensel D. J., Brooke-Wavell K., Hardman A. E., Jones P. R., Norgan N. G. The influence of a 1-year programme of brisk walking on endurance fitness and body composition in previously sedentary men aged 42-59 years. Eur J Appl Physiol Occup Physiol. 1994;68(6):531–537. doi: 10.1007/BF00599525. [DOI] [PubMed] [Google Scholar]
  33. Sullivan M. J., Higginbotham M. B., Cobb F. R. Exercise training in patients with severe left ventricular dysfunction. Hemodynamic and metabolic effects. Circulation. 1988 Sep;78(3):506–515. doi: 10.1161/01.cir.78.3.506. [DOI] [PubMed] [Google Scholar]
  34. The investigation and management of stable angina. Report of a working party of the Joint Audit Committee of the British Cardiac Society and the Royal College of Physicians of London. J R Coll Physicians Lond. 1993 Jul;27(3):267–273. [PMC free article] [PubMed] [Google Scholar]
  35. Todd I. C., Ballantyne D. Effect of exercise training on the total ischaemic burden: an assessment by 24 hour ambulatory electrocardiographic monitoring. Br Heart J. 1992 Dec;68(6):560–566. doi: 10.1136/hrt.68.12.560. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Vitello-Cicciu J. M., Brown M. M., Lazar H. L., McCabe C., McCormick J. R., Roberts A. J. Profile of patients requiring the use of epicardial pacing wires after coronary artery bypass surgery. Heart Lung. 1987 May;16(3):301–305. [PubMed] [Google Scholar]
  37. Whitford D. L., Southern A. J. Audit of secondary prophylaxis after myocardial infarction. BMJ. 1994 Nov 12;309(6964):1268–1269. doi: 10.1136/bmj.309.6964.1268. [DOI] [PMC free article] [PubMed] [Google Scholar]

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