How optimal is the management of patients attending cardiac rehabilitation with coronary heart disease?
AbstractAlthough evidence exists to suggest that post MI mortality is reducing in parallel with advancements in cardiology practice, ‘optimal medical management’ and risk factor control of patients with coronary heart disease (CHD) has been referred to as being sub-optimal compared to that shown to be effective in clinical research. With numerous treatment methods available for managing CHD, continuous analysis is required to ascertain which treatment methods are most beneficial in reducing mortality and improving outcomes for patients following a diagnosis of CHD. Additionally, increasing numbers of patients commence medical therapy with surgical intervention deferred. It is therefore imperative that patient treatment is optimised through adherence to clinical guidelines. This paper aims to explore the current standpoint on treatment options for CHD whilst analysing the extent to which evidence based guidelines translate into clinical practice. This will include the discussion of patient compliance and community follow up and the impact these factors have on outcomes for patients with CHD. This will be established by first exploring the effectiveness of treatment methods for CHD before discussing the use of cardiac rehabilitation as a resource for further improving outcomes following treatment.
PublisherUniversity of Chester
TypeThesis or dissertation
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