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(Chest. 2003;123:2104-2111.)
© 2003 American College of Chest Physicians

Cardiac Rehabilitation Following Percutaneous Revascularization, Heart Transplant, Heart Valve Surgery, and for Chronic Heart Failure*

Kerry J. Stewart, EdD; Dalynn Badenhop, PhD; Peter H. Brubaker, PhD; Steven J. Keteyian, PhD and Marjorie King, MD

* From Johns Hopkins Heart Health (Dr. Stewart), Johns Hopkins School of Medicine, Baltimore, MD; Cardiac Rehabilitation (Dr. Badenhop), Medical College of Ohio, Toledo, OH; Cardiac Rehabilitation (Dr. Brubaker), Wake Forest University, Winston-Salem, NC; Preventive Cardiology (Dr. Keteyian), Henry Ford Heart & Vascular Institute, Detroit, MI; and Cardiac Services (Dr. King), Helen Hayes Hospital, West Haverstraw, NY.

Correspondence to: Kerry J. Stewart, EdD, Associate Professor of Medicine, Director, Johns Hopkins Heart Health, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave, Baltimore, MD 21224; e-mail: kstewart{at}mail.jhmi.edu

This review discusses the scientific and clinical evidence for cardiac rehabilitation in patients who have undergone percutaneous revascularization, heart transplant, and heart valve surgery, and in patients with chronic heart failure. Across these diagnoses, regardless of age, there is considerable benefit of cardiac rehabilitation and supervised exercise training for increasing functional capacity, favorably modifying disease-related risk factors, decreasing symptoms, detecting signs and symptoms of disease before they become serious complications, and improving quality of life. The available evidence for this component of cardiovascular disease management, albeit not perfect, still warrants its more widespread application.

Key Words: cardiac rehabilitation • chronic heart failure • exercise training • heart transplant • heart valve surgery • percutaneous revascularization • secondary prevention




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