Read more
This book contains the proceedings of a conference organized by the Klinik Hohenried at the Evangelische Akademie in Tutzing under the patronage of the International Society of Cardiology - Council on Rehabilitation - from Febr. 12-14, 1981. The purpose of the meeting on Current Problems in Cardiac Rehabili tation was to come closer to answering the questions posed in the fol lowing pages, and to make some opinions about cardiac rehabili tation less contoversial. To comment briefly on the interesting question of why opinions in the field of cardiac rehabilitation seem more controversial than in other fields of cardiology, we would like to propose the following explanation: 1. Lack of personal experience and lack of special training in cardiac rehabilitation are a major source of misunderstandings and differ ences of vocabulary between cardiologists engaged in clinical practice and in rehabilitation. 2. Emotional problems in accepting a new kind of partnership between coronary patients and their physicians and a "nihilistic attitude" towards therapy of behaviour play an important role in the scepti cism of cardiologists. 3. Fear of an expensive "overmedication" (I. Illich) is another argu ment concerning rehabilitation.
List of contents
The Traditional Concept of Risk Factors in Coronary Heart Disease - Has It To Be Changed?.- The Role of Diet.- The Role of Social Factors - Behavior Patterns or Risk Situations?.- The Role of Protective Factors.- Do the Standard Risk Factors Alter Their Role After the First Myocardial Infarction?.- Is There a Difference in Risk Factors in the Development of Angina Pectoris and Myocardial Infarction?.- Physical Activity as a Secondary Preventive Measure in Coronary Heart Disease - Yes or No?.- The Reasons for Recommending Physical Training as a Preventive Measure Following Myocardial Infarction.- Evidence to Date for the Beneficial Effect of Exercise Following Myocardial Infarction.- The Reasons for Detrimental Effects of Physical Training on Patients After Myocardial Infarction.- Coronary Surgery - A Measure of Rehabilitation?.- Does Surgical Therapy Alter the Prognosis of Coronary Heart Disease?.- Do Recent Changes in Medical Therapy Alter the Prognosis in Coronary Heart Disease?.- Long-Term Effects of Aortocoronary Bypass Surgery of Exercise Tolerance and Vocational Rehabilitation.- Return to Work After Coronary Surgery: Is There a Need for a Comprehensive Rehabilitation Programm?.- Higher Nervous Activity, Coronary Disease, and Sudden Death.- Adjusting to Coronary Artery Disease: Coping with the Problems of Convalescence Following Myocardial Infarction.- Evidence of a Relation Between Higher Nervous Activity and Sudden Death.- Incidence of Ventricular Arrhythmias in Coronary Artery Disease During Holter Monitoring and Stress Testing.- What Is Adequate Social Management of Patients with Coronary Heart Disease?.- Is the Influence of Social Classes in Rehabilitation of Cardiac Patients Inevitable?.- Patient and Family Education and Counseling: A Requisite Component of Cardiac Rehabilitation.- Is There Sufficient Appreciation of Vocational Counseling?.- What Kind of Organization Do We Need in Rehabilitation?.- Can We Improve the Prognosis of Coronary Heart Disease?.- Institutionalized, Residental Rehabilitation of Patients with Ischemic Heart Disease?.- Do Different Kinds of Social and Cultural Settings Require Different Kinds of Rehabilitation Programme?.- Which Diagnostic Procedures Are Really Helpful at Which Stage of Coronary Heart Disease?.- Stress Testing.- Contribution of Nuclear Cardiology to the Diagnosis of the Various Stages of Coronary Artery Disease.- Echocardiography in Coronary Artery Disease.- Towards the Optimal Lead System and Optimal Criteria for Exercise Electrocardiography.- Coronary Angiography.- Ambulatory Electrocardiographic Monitoring.- ECG Telemetry.
