bsc8

Cardiac Rehabilitation
Dr R.Kacenelenbogen
Cardiac Rehabilitation Department
CHU St Pierre ,Brussels

PATIENTS WITH CLASS IA INDICATIONS OF CR:
LESS THAN HALF HAVE THEIR CR DONE
Age Dependency
< 62 yrs: 46% CR
> 62 yrs: 21% CR
Cause n°1= Cardiologist !
NOT CONVINCED BY CR … WHY ?

Mr B: 65 yr-old man
you see him after a coronary event (NSTEMI)
no heart failure
no renal insufficiency
A. Obese
B. High cholesterol
C. HTN
D. Type2 Diabetes
E. Smoking
F. PAL= 1.1
All the Traditional Risk Factors +Inactivity

Question :
You are the wizard
of Oz , but you can
kill only one wicked
witch..
You want to
optimize Mr B’s
survival at 3 years
Wich risk factor do
you choose to
correct with a snap
of a finger?

Mr B:
CHOOSE ONE
A. Obese BMI 25
B. Cholesterol LDL 70
C. HTN 12/8
D. T2D HbA1c 6
E. Smoking QUIT
F. PAL= 1.1 PAL 2 (CR)