Biobehavioural approach in cardiac rehabilitation – Key factor for success
Keywords:
comprehensive cardiac rehabilitation, psychosocial risk factors, behavioural cardiology, stress managementAbstract
Despite of important advances cardiovascular diseases remain the number-one cause of mortality in the most of countries. There is therefore an urgent need to pursue other ways of preventing and treating heart disease. In population of Europe the lack of a decline of modifiable cardiovascular risk factors has been confirmed despite the substantial increase of cardiovascular drug prescription. Experts therefore urge the need for the implementation of a comprehensive cardiovascular rehabilitation in national programmes. Generally, in countries where there are low levels of cardiovascular rehabilitation, there exists high mortality and morbidity due to cardiovascular diseases. Its key components are to be: a change of lifestyle, education, management of risk factors, psychosocial interventions, adequate cardioprotective medication therapy, long-term therapeutic strategies. In this paper we review the role of behavioural and lifestyle approaches to these goals.
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