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Correspondence
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Volume 346:379-380 January 31, 2002 Number 5
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Cardiac Rehabilitation

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To the Editor: In his review, Ades (Sept. 20 issue)1 describes the benefits of cardiac rehabilitation in patients with coronary heart disease. He notes the improvement that takes place with cardiac rehabilitation in a range of psychological factors and symptoms, including anxiety, emotional stress, lack of self-confidence, depression, social isolation, and patient-reported quality of life. Ades reports that when cardiac rehabilitation specifically includes psychosocial management, greater reductions in cardiac risk factors and morbidity and mortality are evident.

We have found in our clinical work in cardiac rehabilitation that coexisting psychiatric symptoms and disorders appear to play a critical part in . . . [Full Text of this Article]

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