By William Kraus, Steven Keteyian

This quantity serves as a guide to prone in regards to the multidisciplinary nature of cardiac rehabilitation within the present period, the present nation of cardiac rehabilitation, and the problems proposing to present CR courses. It includes theoretical, useful, and up to date cardiac rehabilitation info, together with the recent heart for Medicare and Medicaid prone (CMS) guidance for compensation. The publication bargains varied, entire chapters, from foodstuff to programmatic concerns. It serves as an ideal source for workers and administrators which are new to cardiac rehabilitation or desire to commence a software.

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K. Ehrman achieve a moderate intensity that is equivalent to a low of 40–50% of peak VO2 and as high as 85% of peak VO2 . Most obese individuals who have not recently exercised should begin at the lower end of this range. , indirect calorimeter). If this is not available, then the intensity level can be set based on a percentage of peak-estimated metabolic equivalents (METs) achieved or by using the heart rate reserve method to determine a training heart rate range. The exercise test is also important in these individuals for common reasons in cardiac rehabilitation including assessment for ischemia, arrhythmias, and hemodynamic decompensation that might be used to limit the exercise intensity.

Mode selection is very important for adherence. For some individuals, seated aerobics may be an excellent option to reduce the typical orthopedic limitations these individuals experience including back, hip, knee, and ankle pain. Seated or chair aerobics also can be performed in the comfort of a person’s home. Cardiac rehabilitation programs should consider acquiring treadmills that can accommodate 500-pound individuals. Alternatively, larger individuals may use floor space or hallways to perform walking.

3 provides a BMI-based strategy suggesting the intensity of treatment as proposed by the American College of Physicians. Although this strategy is not specific to patients participating in cardiac rehabilitation, it does reflect the current general consensus of the initial treatment approach for obese patients seeking a clinical weight loss approach. The following sections review current stateof-the-art treatment strategies that can be implemented in the cardiac rehabilitation setting. Medical Medical treatment can take on several forms.

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