By William Kraus, Steven Keteyian
This quantity serves as a handbook to companies concerning the multidisciplinary nature of cardiac rehabilitation within the present period, the present nation of cardiac rehabilitation, and the problems featuring to present CR courses. It comprises theoretical, sensible, and updated cardiac rehabilitation info, together with the hot heart for Medicare and Medicaid providers (CMS) guidance for compensation. The e-book deals different, complete chapters, from food to programmatic concerns. It serves as an ideal source for employees and administrators which are new to cardiac rehabilitation or desire to start a software.
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Extra info for Cardiac Rehabilitation (Contemporary Cardiology)
Ehrman These and other potential effects of obesity, including increases in blood volume and cardiac output, increased cardiac work at any level of exertion compared with normal non-obese persons and cardiac hypertrophy/myopathy all can result in the initial genesis of, and ongoing problems associated with atherosclerosis. ). Additionally, obesity can result in venous insufficiency (primarily in the massively obese) and endothelial dysfunction as evidenced by increased vasoconstriction. Finally, obesity is the most prevalent modifiable risk factor for sleep apnea (16).
Pathophysiology Overweight and obesity, in its simplest terms, is the result of a prolonged imbalance between caloric consumption and expenditure. However, there is much evidence of the multifactorial nature of the disease. Neurologic, physiologic, biochemical, environmental, cultural, and psychosocial factors all interact to drive caloric imbalance. Heredity is also known to play a strong role in the risk of obesity. Because of all these factors, a number of direct and indirect negative effects often occur in these patients.
Regular monitoring is important and can be easily performed by cardiac rehabilitation staff. Orlistat inhibits fat absorption in the gastrointestinal tract. It blocks approximately one-third of fat intake. Its important to note that orlistat is not effective in patients eating a low-fat diet. The major side effects are related to gastrointestinal symptoms such as pain, fecal urgency, and loose stools due to evacuation of fatty oils. This latter side effect is unpleasant but may serve as a behavioral mechanism in some individuals to avoid high-fat foods.
Cardiac Rehabilitation (Contemporary Cardiology) by William Kraus, Steven Keteyian