Cardiac Rehabilitation and Secondary Prevention of Coronary Heart

Cardiac Rehabilitation and Secondary Prevention of Coronary Heart

Summary of the assigned article

The article gives information on ways of preventing the cardiac problem from becoming worse in patients who suffer from heart-related problems. Cardiac rehabilitation ensures that the patients have less complication in their psychological, physical and communal activities. Cardiac rehabilitation also decreases the number of deaths of patients with cardiac problems (Arthur, Leon, Barry, Franklin, Fernando Costa, Gary, Balady, Kathy, Berra, Kerry, Stewart, Paul, Thompson, Mark, Williams, Michael & Lauer, 2005).

It also provides guidelines on research areas in future. Some of the research guidelines are: assessment of the efficiency of various cardiac rehabilitation methods so as to improve the methods in terms of raising the number of patients who are seeking the services. Future research should also focus on comparing the cost-effectiveness of past-supervised cardiac rehabilitation methods compared to non-supervised methods (Arthur et al., 2005). This should aim at decreasing the cost of acquiring the services so as to improve the population of patients seeking the services thus increasing their quality of life.

The article encourages incorporation of physical activities as one of the components in the secondary prevention of cardiovascular problems. Cardiovascular patients are subjected to frequent supervised physical exercises for instance: weeding the compound, riding a bicycle, walking, and moderate weight-lifting and climbing stairs. Physical exercises are important in enhancing patient’s physical fitness, the decrease of fatty tissues deposition and improving the breathing rate and myocardial functioning (Arthur et al., 2005).

Besides using physical exercises the American heart association encouraged the application of many interconnected methods directed to decreasing the worsening of cardiovascular disease in patients suffering from the disease. After great emphasis on the use of multiple secondary prevention measures, instructions have been developed geared towards how to assess, intervene and evaluate the results of each rehabilitation method. Cardiovascular disease patients are therefore granted guidance in the following areas: career, nutrition, psychological, medical and physical exercise (Arthur et al., 2005).

Some people who are candidates for cardiac rehabilitation include patients who have undergone a heart transplant and patients with prolonged heart failure. However, cardiac methods of rehabilitation are not utilized fully as cardiovascular disease patients would have expected it (Arthur et al., 2005). Some of the causes of the underutilization of the programs include inadequate funds to access the services, inadequate awareness of the importance of the programs by the public and also geographical factors.

Summary of how the information may be applied in a practical setting

Information on cardiac rehabilitation and secondary prevention of coronary heart is important as it can be applied in establishing other set-ups of providing cardiac rehabilitation services.  Some of these alternative set-ups are: community-based methods, home-based methods and electronic media methods.

According to Lardner and Pennelton (2009), Home-based cardiac rehabilitation, a nurse checks on the patient regularly. He/she assesses the progress of the patient and provides advice on healthy feeding habits, physical exercises and any other aspect of life. Home based methods ease the cost of secondary prevention of cardiovascular diseases. Community-based methods involve using nurses or people who are not necessarily nurses or doctors to take care of the patient.

Electronic media methods involve the use of radios, televisions and other electronic sources of information. They educate the public on various components of cardiac rehabilitation. According to Lardner and Pennelton (2009), the cardiovascular diseases rehabilitation methods minimize the costs the services and eliminate the geographical limitations, which are inevitable while using the hospital-based rehabilitation programs.


Cardiac rehabilitation is an efficient way of increasing chances of survival to patients suffering from cardiovascular diseases. Although the program is effective, it has not been utilized as expected. Therefore, there is need for creating awareness of the benefits accrued by using the program.


Arthur S. Leon, Barry A. Franklin, Fernando Costa, Gary J. Balady, Kathy A. Berra, Kerry J. Stewart, Paul D. Thompson, Mark A. Williams, Michael S. Lauer (2005). Cardiac Rehabilitation and Secondary Prevention of Coronary Heart Disease, Circulation. 2005;111:369-376.

Lardner, B. V., & Pennelton, H. R. (2009). Heart disease in women. New York: Nova Science.

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