TY - JOUR
T1 - Comprehensive Cardiovascular Risk Reduction and Cardiac Rehabilitation in Diabetes and the Metabolic Syndrome
AU - Heinl, Robert E.
AU - Dhindsa, Devinder S.
AU - Mahlof, Elliot N.
AU - Schultz, William M.
AU - Ricketts, Johnathan C.
AU - Varghese, Tina
AU - Esmaeeli, Amirhossein
AU - Allard-Ratick, Marc P.
AU - Millard, Anthony J.
AU - Kelli, Heval M.
AU - Sandesara, Pratik B.
AU - Eapen, Danny J.
AU - Sperling, Laurence
N1 - Funding Information:
Publication of this article was supported by the Jim Pattison Foundation and the University Hospital Foundation.
Publisher Copyright:
© 2016 Canadian Cardiovascular Society
PY - 2016/10
Y1 - 2016/10
N2 - The epidemic of obesity has contributed to a growing burden of metabolic syndrome (MetS) and diabetes mellitus (DM) worldwide. MetS is defined as central obesity along with associated factors such as hypertriglyceridemia, low high-density lipoprotein cholesterol, hyperglycemia, and hypertension. MetS and DM are associated with significant cardiovascular morbidity and mortality. Healthy behavioural modification is the cornerstone for reducing the atherosclerotic cardiovascular disease burden in this population. Comprehensive, multidisciplinary cardiac rehabilitation (CR) programs reduce mortality and hospitalizations in patients with MetS and DM. Despite this benefit, patients with MetS and DM are less likely to attend and complete CR because of numerous barriers. Implementation of innovative CR delivery models might improve utilization of CR and cardiovascular outcomes in this high-risk population.
AB - The epidemic of obesity has contributed to a growing burden of metabolic syndrome (MetS) and diabetes mellitus (DM) worldwide. MetS is defined as central obesity along with associated factors such as hypertriglyceridemia, low high-density lipoprotein cholesterol, hyperglycemia, and hypertension. MetS and DM are associated with significant cardiovascular morbidity and mortality. Healthy behavioural modification is the cornerstone for reducing the atherosclerotic cardiovascular disease burden in this population. Comprehensive, multidisciplinary cardiac rehabilitation (CR) programs reduce mortality and hospitalizations in patients with MetS and DM. Despite this benefit, patients with MetS and DM are less likely to attend and complete CR because of numerous barriers. Implementation of innovative CR delivery models might improve utilization of CR and cardiovascular outcomes in this high-risk population.
UR - http://www.scopus.com/inward/record.url?scp=85024401775&partnerID=8YFLogxK
U2 - 10.1016/j.cjca.2016.07.507
DO - 10.1016/j.cjca.2016.07.507
M3 - Review article
C2 - 27692115
AN - SCOPUS:85024401775
SN - 0828-282X
VL - 32
SP - S349-S357
JO - Canadian Journal of Cardiology
JF - Canadian Journal of Cardiology
IS - 10
ER -