International guidelines now recommend that cardiac rehabilitation programmes include health education and psychological counselling Provides answers to frequently asked questions about cardiac rehabilitation, including who needs it and for how long. So first put your arm far away from your nose and then somehow reach the far test strip with the bottle. A policy statement for clinicians and commissioners from the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation.

Several studies have reported improvement in psychological stress in patients with coronary heart disease who have attended cardiac rehabilitation: one recent US observational study of 189 patients with heart failure (left ventricular ejection fraction <45%) reported a decrease in symptoms of depression by 40% after exercise training cardiac rehabilitation (from 22% to 13%, P<0.0001). 37 Also depressed patients who completed their cardiac rehabilitation had a 59% lower mortality (44% v 18%, P<0.05) compared with depressed dropout patients who did not undergo cardiac rehabilitation. 37 Sandesara PB, Lambert CT, Gordon NF, et al. Cardiac rehabilitation and risk reduction: time to “rebrand and reinvigorate.” J Am Coll Cardiol 2015;65:389-95. Al Rehab, established in 1975, have taken upon their shoulders the responsibility of providing high-quality perfumes with their slogan being ‘quality at affordable prices for all’. Made in UAE. A clinical review article that argues that the current model of centre based cardiac rehabilitation is unsustainable and requires a patient centred strategy. Provides clinicians and commissioners with new and updated recommendations on cardiac rehabilitation, drug therapy, and communication of diagnosis.Before the use of statins for the secondary prevention of coronary heart disease, two observational studies demonstrated the beneficial effects of diet and exercise in improving lipid profiles. 38 39 The findings of a small case series of 18 patients prescribed a low cholesterol diet and daily exercise for 30 minutes on a bicycle ergometer resulted in regression of coronary artery atheroma on angiography in seven of the 18 patients, compared with only one of 18 in the usual care group. 39 Significant reductions in total serum cholesterol concentration (−2%, P=0.05) and low density lipoprotein:high density lipoprotein cholesterol ratios (−9%, P≤0.0001) were reported after 36 sessions of cardiac rehabilitation in another US observational study from the 1990s involving 313 cardiac patients. 38 Al-Nourus from Al-Rehab with fragrance features peach, mango, melon, lime, white musk, white lily and iris flower for Women. Patients with heart valve replacements for reasons other than acute coronary syndrome and heart failure

Globally, the prevalence of coronary heart disease and heart failure is increasing, and there is some evidence of the health benefits of cardiac rehabilitation A French observational study of more than 25 000 patients undergoing cardiac rehabilitation reported one cardiac event for 50 000 hours of exercise training, equivalent to 1.3 cardiac arrests per million patient-hours. 41 An earlier US study reported one case of ventricular fibrillation per 111 996 patient-hours of exercise and one myocardial infarction per 294 118 patient-hours. 42Provides information to commissioners and clinicians on the inequalities and insufficiencies in delivery against key service indicators for over 320 cardiac rehabilitation programmes in the UK. Menezes AR, Lavie CJ, Milani RV, Forman DE, King M, Williams MA. Cardiac rehabilitation in the United States. Prog Cardiovasc Dis 2014;56:522-9. Clark AM, Hartling L, Vandermeer B, McAlister FA. Secondary prevention program for patients with coronary artery disease: a meta-analysis of randomized control trials. Ann Intern Med 2005;143:659-72. American Heart Association: What is cardiac rehabilitation? www.heart.org/HEARTORG/Conditions/More/CardiacRehab/What-is-Cardiac-Rehabilitation_UCM_307049_Article.jsp. British Heart Foundation. The National Audit of Cardiac Rehabilitation: annual statistical report 2014. British Heart Foundation, 2014. www.bhf.org.uk/~/media/files/publications/research/nacr_2014.pdf.

Association of Chartered Physiotherapists in Cardiac Rehabilitation. Patient information. http://acpicr.com/patient-information WREN pilot study of web based cardiac rehabilitation for those declining or dropping out of conventional rehabilitation. http://public.ukcrn.org.uk/search/StudyDetail.aspx?StudyID=19260 Provides evidence on alternatives to the traditional hospital based model of cardiac rehabilitation.A 2011 Cochrane review and meta-analysis of 47 randomised controlled trials that included 10 794 patients showed that cardiac rehabilitation reduced overall mortality (relative risk 0.87 (95% confidence interval 0.75 to 0.99), absolute risk reduction (ARR) 3.2%, number needed to treat (NNT) 32) and cardiovascular mortality (relative risk 0.74 (0.63 to 0.87), ARR 1.6%, NNT 63), although this benefit was limited to studies with a follow-up of greater than 12 months. 25 With the exception of one large, UK based trial that showed little effect of cardiac rehabilitation on mortality at two years (relative risk 0.98 (0.74 to 1.30)), 26 findings from meta-analyses and observational studies support a mortality benefit. 27 Another systematic review and meta-analysis of 34 randomised controlled trials including 6111 patients after myocardial infarction showed that those who attended cardiac rehabilitation had a lower risk of all-cause mortality than non-attendees (odds ratio 0.74 (0.58 to 0.95)). 28 Clark RA, Conway A, Poulsen V, Keech W, Tirimacco R, Tideman P. Alternative models of cardiac rehabilitation: a systematic review. Eur J Prev Cardiol 2015;22:35-74. The sweetness of caramel and vanilla is very perceptible, as if it had been poured over exotic flowers. I don't even notice rose, but jasmine a little, but generally it's rather exotic flowers for me with huge flowers full of sweet nectar. Despite its sweetness, the perfume is also spicy and warm, which is probably due to the sandalwood and runs through the whole fragrance. It's even pretty much 1:1 like the old Venezia, so the suggestion here as a twin fragrance didn't surprise me at all. For all those who do not know Venezia: