Despite available resources, unawareness and scarcity of professionals have led to limited access of such programmes. In this proposal, a programme has been proposed of cardiovascular rehabilitation that would not only incorporate exercise programmes, but also would educate patients in the line of lifestyle modification that involves unconventional approaches of imparting education at the time of deployment of rehabilitative programmes.
A combination of dietary, psychosocial, medical, educational, rehabilitative, and behavioural modifications can go a long way to reduce cardiovascular risks so that morbidity and mortality of such patients would drastically reduce. Government guidelines and community agencies would serve to implement such a project in reality by ensuring active participation through mentoring of these patients so the national goal is achieved.
Introduction: Improved prevention of coronary artery disease is one of the prime targets of the cardiovascular rehabilitation throughout the world. It is the key aim and central target of many Government bodies concerned with health of the people. These can be achieved by primary prevention, improved treatment of acute disease episodes, revascularization, and by secondary prevention. There is strong scientific and clinical evidence that coronary prevention through lifestyle measures, treatment of blood pressure, lipid control, aspirin therapy, post myocardial infarction treatment with beta blockers, statins, and angiotensin converting enzyme inhibitors, surgical revascularization have major roles to play in bringing the patients into acceptable life activities and perhaps to a risk-free tenure of livelihood for the rest of the life. This evidence applies to the patients with angina pectoris as well as post myocardial infarction, and those revascularized. Cardiovascular rehabilitation, however, is the key to these being achieved despite the complaint that it is not being used in its full potential. There are many factors involved in this affair. It is a known fact that full potential of these secondary prevention measures are not being realized in clinical practice, and as a result, the pace of progress in improving the effectiveness of secondary prevention is slow. There is failure to offer cardiac prevention and cardiovascular rehabilitation programmes to all patients at their first presentation with evidence or risks of coronary artery disease. Simply put, this fails to achieve and maintain risk factor modification and lifestyle adjustments with full use of cardiovascular rehabilitative measures. This proposal attempts to delineate a health promotion project from the point of view of cardiac rehabilitation considering the factors of demography, personnel support, economic support, and target population.
There is, therefore, a need to establish and implement programmes that can be offered to all eligible patients. This will successfully recruit and retain patients and will achieve and maintain risk factor control through rehabilitative measures. This author will utilize knowledge of Cardiovascular Rehabilitation to establish effective cardiac preventio