engleski

Cardiac rehabilitation: myths and facts

Although Hellerstein introduced the universally accepted model of comprehensive cardiac rehabilitation in the 1950s, Max Oertel's empiricism at the end of the 19th century was already at least, as far as physical training is concerned, in full compliance with today's scientifically explicable concepts of the positive effects of physical activity on the cardiovascular health. Cardiac rehabilitation is an important component of the current multidisciplinary approach to cardiovascular patients, although the figures on its use may not even support the above mentioned. Endothelial dysfunction has been identified as a predictor of cardiovascular events, so it seems that just the effect on endothelial dysfunction correction has been achieved by regular physical activity which is the most probable exercise effect mechanism for reducing the mortality of patients with coronary heart disease. It is its greatest benefit to the patient, together with the positive physiological and psychological aspects of the effects of physical exercise on cardiovascular health. We advocate a personalized approach to exercise, taking into account all the characteristics of the disease, the risk profile of the patient and the patient's personal preferences with the aim of changing the lifestyle as a facilitator of self-sustainability of healthy behaviour.

cardiac rehabilitation, physical training, personalized approach

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