Association of Chartered Physiotherapists in Cardiac Rehabilitation. Patient information. http://acpicr.com/patient-information

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. Al-Nourus from Al-Rehab with fragrance features peach, mango, melon, lime, white musk, white lily and iris flower for Women. American Heart Association: What is cardiac rehabilitation? www.heart.org/HEARTORG/Conditions/More/CardiacRehab/What-is-Cardiac-Rehabilitation_UCM_307049_Article.jsp.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. Globally, the prevalence of coronary heart disease and heart failure is increasing, and there is some evidence of the health benefits of cardiac rehabilitation

Patients should be offered a choice of community based and home based cardiac rehabilitation programmes to fit their needs and preferences Patients with acute coronary syndrome—including ST elevation myocardial infarction, non-ST elevation myocardial infarction, and unstable angina—and all patients undergoing reperfusion (such as coronary artery bypass surgery, primary percutaneous coronary intervention, and percutaneous coronary intervention)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. Provides answers to frequently asked questions about cardiac rehabilitation, including who needs it and for how long. A US observational study of 635 patients with coronary heart disease reported improvements in depression, anxiety, and hostility scores after cardiac rehabilitation. 34 Early cardiac rehabilitation programmes only offered interventions that focused predominantly on exercise, but significant (P<0.01) improvements in anxiety and depression scores were reported in one randomised controlled trial of 210 men admitted with myocardial infarction undergoing gym based exercise training. 35 Furthermore, a meta-analysis of 23 randomised controlled trials (3180 patients with coronary heart disease) that evaluated the impact of adding psychosocial interventions to standard exercise based cardiac rehabilitation reported a greater reduction in psychological distress (effect size 0.34) and improvements in systolic blood pressure and serum cholesterol (effect sizes −0.24 and −1.54 respectively). 36 Clinicians should endorse cardiac rehabilitation for patients with a recent diagnosis of coronary heart disease or heart failure International guidelines now recommend that cardiac rehabilitation programmes include health education and psychological counselling

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. 42 But before I can start with my impressions and the description of the fragrance, my inner Monk forces me to point out that this is the Eau de Parfum to spray on. All people who have made a comment or statement here are referring to the perfumeÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖÖL, which is listed here. *Sigh* National Institute for Health and Care Excellence. Secondary prevention in primary and secondary care for patients following a myocardial infarction (clinical guidance 172). NICE, 2013. www.nice.org.uk/guidance/cg172.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. A clinical review article that argues that the current model of centre based cardiac rehabilitation is unsustainable and requires a patient centred strategy. The fragrance starts soft, warm and very feminine and you can't really smell the individual fragrance components.