Cardiac Rehabilitation

editado a expresa solicitud académica
17. Cardiac Rehabilitation
Cardiac Rehabilitation
Clinical Guideline Number 17
AHCPR Publication No. 96-0672:
October 1995
Link to the National Guideline Clearinghouse

[Inside Front Cover]

The Agency for Health Care Policy and Research (AHCPR) was established in December 1989 under Public Law 101-239 (Omnibus Budget Reconciliation Act of 1989) to enhance the quality, appropriateness, and effectiveness of health care services and access to these services. AHCPR carries out its mission by conducting and supporting general health services research, including medical effectiveness research, facilitating development of clinical practice guidelines, and disseminating research findings and guidelines to health care providers, policymakers, and the public.

The legislation also established within AHCPR the Office of the Forum for Quality and Effectiveness in Health Care (the Forum). The Forum has primary responsibility for facilitating the periodic review, and updating of clinical practice guidelines. The guidelines will assist practitioners in the prevention, diagnosis, treatment, and management of clinical conditions.

The National Heart, Lung, and Blood Institute (NHLBI) supports biomedical research and patient and professional education on health care. NHLBI has coordinated development of several professionally oriented clinical guidelines, including ones on high blood pressure and high blood cholesterol, and collaborated with AHCPR in supporting a clinical practice guideline on unstable angina. Recognizing the importance of cardiac rehabilitation, NHLBI has again collaborated with AHCPR as a partner in the development of this clinical practice guideline.

Guidelines are available in formats suitable for health care practitioners, the scientific community, educators, and consumers. AHCPR invites comments and suggestions from users for consideration in development and updating of future guidelines. Please send written comments to Director, Office of the Forum for Quality and Effectiveness in Health Care, AHCPR, Willco Building, Suite 310, 6000 Executive Boulevard, Rockville, MD 20852.

Guideline Development and Use

Guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical conditions. This guideline was developed by a private-sector panel convened by the Agency for Health Care Policy and Research (AHCPR) and the National Heart, Lung, and Blood Institute (NHLBI). The panel, assembled by the American Association of Cardiovascular and Pulmonary Rehabilitation, employed an explicit science-based methodology and expert clinical judgment to develop specific statements on management of cardiac rehabilitation.

Extensive literature searches were conducted, and critical reviews and syntheses were used to evaluate empirical evidence and significant outcomes. Peer review was undertaken to evaluate the reliability and utility of the guideline in clinical practice. The panel's recommendations are primarily based on the published scientific literature. When the scientific literature was incomplete or inconsistent in a particular area, the recommendations reflect the professional judgment of panel members and consultants.

The guideline reflects the state of knowledge, current at the time of publication, on effective and appropriate care. Given the inevitable changes in the state of scientific information and technology, periodic review, updating, and revision will be done.

We believe that this AHCPR and NHLBI-assisted clinical practice guideline will make positive contributions to the quality of care in the United States. We encourage practitioners and patients to use the information provided in the guideline. The recommendations may not be appropriate for use in all circumstances. Decisions to adopt any particular recommendation must be made by the practitioner based on available resources and circumstances presented by individual patients.


Clifton R. Gaus, ScD
Administrator
Agency for Health Care Policy and Research
Claude Lenfant, MD
Director
National Heart, Lung and Blood Institute

Publication of this guideline does not necessarily represent endorsement by the U.S. Department of Health and Human Services.


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Cardiac Rehabilitation