45
Cardiac Rehabilitation and Education
COR LOE
Recommendations
1 A 1. In patients who have undergone revascularization, a
comprehensive cardiac rehabilitation program (home based
or center based) should be prescribed either before hospital
discharge or during the first outpatient visit to reduce deaths
and hospital readmissions and improve quality of life.
1 C-LD 2. Patients who have undergone revascularization should be
educated about CVD risk factors and their modification to
reduce cardiovascular events.
Smoking Cessation in Patients After Revascularization
COR LOE
Recommendations
1 A 1. In patients who use tobacco and have undergone coronary
revascularization, a combination of behavioral interventions +
pharmacotherapy is recommended to maximize cessation and
reduce adverse cardiac events.
1 A 2. In patients who use tobacco and have undergone coronary
revascularization, smoking cessation interventions are
recommended during hospitalization and should include
supportive follow-up for at least 1 month after discharge
to facilitate tobacco cessation and reduce morbidity and
mortality.
Psychological Interventions in Patients After Revascularization
COR LOE
Recommendations
1 B-R 1. In patients who have undergone coronary revascularization
who have symptoms of depression, anxiety, or stress, treatment
with cognitive behavioral therapy, psychological counseling,
and/or pharmacological interventions is beneficial to improve
quality of life and cardiac outcomes.
2b C-LD 2. In patients who have undergone coronary revascularization, it
may be reasonable to screen for depression and refer or treat
when it is indicated to improve quality of life and recovery.
Addressing Psychosocial Factors and Lifestyle Changes After
Revascularization
