%0 Journal Article
%T Fase de mantenimiento de la rehabilitaci車n card赤aca. Caracter赤sticas. Mainteinance stage of cardiac rehabilitaction. Charcateristics.
%A Eduardo Rivas Estany
%J Revista Cubana de Cardiolog赤a y Cirug赤a Cardiovascular
%D 1999
%I ECIMED
%X Se analizaron los objetivos, metodolog赤a y tipos de pacientes que deben ser incorporados a la fase de mantenimiento de la rehabilitaci車n card赤aca y se hizo hincapi谷 en su importancia como medida de prevenci車n secundaria en casos con cardiopat赤a isqu谷mica. Se mostraron las medidas que propiciar赤an cambios favorables del estilo de vida y el papel que 谷stas desempe an, junto con la medicaci車n hipolipemiante en casos con dislipoproteinemias, en la limitaci車n de la progresi車n de la arterosclerosis coronaria. Se se al車 la importancia del cumplimiento de los principios fundamentales del entrenamiento f赤sico en pacientes cardi車patas para alcanzar una capacidad f赤sica 車ptima y que 谷sta est谷 determinada adem芍s por las caracter赤sticas demogr芍ficas y cl赤nicas de cada caso. Tipos de pacientes que antes eran excluidos de los ejercicios f赤sicos, abundan en los programas actuales de rehabilitaci車n. Se insisti車 en que una adherencia prolongada a los programas de rehabilitaci車n y prevenci車n secundaria constituy車 un factor clave para su 谷xito. En nuestro Centro se obtuvo el 66 % de adherencia al a o en pacientes infartados. Se concluy車 que estos programas prolongados mejoran la calidad de vida, la reincorporaci車n y productividad laboral, adem芍s de la mortalidad y morbilidad por cardiopat赤a isqu谷mica, mostrando por tanto una relaci車n coste-efectividad favorable. The objectives, methodology and types of patients that should be incorporated to the maintenance stage of cardiac rehabilitation were analyzed. Emphasis was made on its importance secondary prevention in cases of ischemic heart disease. Those measure propitiating favorable changes of life style as well as the role they play, together with the drugs used in the cases with dyslipoproteinemia, in the limitation of the progression of coronary arterioclerosis are shown. It was also stressed the significations of fulfilling the fundamental principles of physical training in cardiopaths in order to reach an optimal physical capacity that would be determined by the demographic and clinical characteristics of each case. Patients that were excluded from physical exercises before are now included in the present programs of rehabilitation. Emphasis was made on the fact that a prolonged participation in the programs of rehabilitation and secondary pre vention was a key factor for succes. in our center, 66 % of the patients who suffered from infarction took part in this program last year. It was concluded taht these prolonged programs improved the quality of life, the reincorporation to work and productivity, as well as mortalit
%K REHABILITACION
%K CUIDADOS POSTERIORES
%K REHABILITATION AFTER CARE.
%U http://bvs.sld.cu/revistas/car/vol13_2_99/car10299.htm