Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease in Europe through percutaneous cardiovascular interventions.
Our mission is to improve the quality of life of the population by reducing the impact of cardiac rhythm disturbances and reduce sudden cardiac death.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Prof. Paul Dendale ,
Impact of Cardiac Rehabilitation on Mortality and Cardiovascular Events After Percutaneous Coronary Intervention in the Community Kashish Goel, MBBS; Ryan J. Lennon, MS; R. Thomas Tilbury, MD; Ray W. Squires, PhD; Randal J. Thomas, MD, MS Circulation. 2011;123:2344-2352 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention Cardiac rehabilitation G. N. Levine, et al. Circulation 2011, 124:2574-2609
This large US study by Goel et al. confirms the effects of CR on all-cause mortality. This result was present in elective or urgent procedures, in both sexes, and all age groups. The absence of an effect on infarction and revascularisation might seem strange (even though a composite of death, revascularisation and infarction was also reduced by CR). The difference in follow-up might be one possible explanation (in CR patients recurrent ischemia will more easily be detected and treated by revascularisation), the other is a possible shift from fatal to non-fatal events due to physical training. This important study underlines the importance of referral of patients after PCI to cardiac rehabilitation: regular exercise and good food might be a powerful way to prevent ischemic events from killing your patient. The indication for referral of patients after revascularization was already mentioned in the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) "Guidelines on myocardial revascularization". But now, for the first time, Cardiac rehabilitation is a level of evidence I A indication after revascularisation, according to the new US guidelines on PCI: “Medically supervised exercise programs (cardiac rehabilitation) should be recommended to patients after PCI, particularly for patients at moderate to high risk for whom supervised exercise training is warranted: level of evidence I A”. This guideline is “based on multiple randomised trials or meta-analyses”. So, let’s have those patients in CR!
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