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Ambulatory preventive care: outpatient clinics and primary care 

Ambulatory preventive care: outpatient clinics and primary care
Chapter:
Ambulatory preventive care: outpatient clinics and primary care
Author(s):

Jean-Paul Schmid

, Hugo Saner

, Paul Dendale

, and Ines Frederix

DOI:
10.1093/med/9780199656653.003.0023_update_001

Update:

  • The role of telemedicine in CVD prevention has been added

Updated on 23 February 2017. The previous version of this content can be found here.
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date: 27 July 2021

Cardiac rehabilitation (CR) services aim to restore the physical, psychosocial, and vocational status of cardiac patients. The role of these services has evolved due to the progress of interventional cardiology with its prompt and effective treatment of acute coronary syndromes. The focus has moved from the restoration of a patient’s health following an acute event towards a more pronounced long-term targeted secondary prevention intervention. As a consequence, CR services have also expanded their indication in order to include not only patients after myocardial infarction or surgery but also a variety of ’non-acuteʼ cardiovascular disease (CVD) states like stable coronary heart disease and peripheral obstructive artery disease as well as asymptomatic patients with no history of CVD but with a constellation of cardiovascular risk factors, especially metabolic syndrome or diabetes mellitus. This chapter provides a wide-ranging summary of the issues concerning outpatients and primary care.

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