1 Scottish Intercollegiate Guidelines Network (SIGN). Secondary Prevention of Coronary Heart Disease following Myocardial Infarction. Edinburgh: SIGN; 2000. (SIGN publication no. 41).[section 1] [section 2] [section 3] [section 5]

2 Scottish Intercollegiate Guidelines Network (SIGN). Stable Angina. A national clinical guideline. Edinburgh: SIGN, 2001 (SIGN publication no.51).[section 1] [section 2] [section 5]

3 Scottish Intercollegiate Guidelines Network (SIGN). Diagnosis and treatment of heart failure due to left ventricular systolic dysfunction . A national clinical guideline. Edinburgh: SIGN, 1999 (SIGN publication no. 35).

4 Feigenbaum E, Carter E. Cardiac rehabilitation services. Health technology assessment report 1987, no 6. Rockville, MD: US Department of Health and Human Services, Public Health Service, National Center for Health Services Research and Health Care Technology Assessment. DHSS publication no PHS 88-3427; 1998.

5 World Health Organisation Expert Committee. Rehabilitation after cardiovascular disease with special emphasis on developing countries. Technical report series 831. Geneva: WHO; 1993.

6 Thompson DR. A randomized controlled trial of in-hospital nursing support for first time myocardial infarction patients and their partners: effects on anxiety and depression. J Adv Nurs 1989; 14: 291-7.

7 Johnston M, Foulkes J, Johnston DW, Pollard B, Gudmundsdottir H. Impact on patients and partners of inpatient and extended cardiac counselling and rehabilitation: a controlled trial. Psychosom Med 1999; 61: 225-33. [section 1] [section 2.4.3] [section 2.5.2]

8 Gilliss CL, Gortner SR, Hauck WW, Shinn JA, Sparacino PA, Tompkins C. A randomized clinical trial of nursing care for recovery from cardiac surgery. Heart Lung 1993; 22: 125-33.

9 van Elderen-van Kemenade T, Maes S, van den Broek Y. Effects of a health education programme with telephone follow-up during cardiac rehabilitation. Br J Clin Psychol 1994; 33: 367-78.

10 Fulmer TT, Feldman PH, Kim TS, Carty B, Beers M, Molina M, Putnam M. An intervention study to enhance medication compliance in community-dwelling elderly individuals. J Gerontol Nurs 1999; 25: 6-14.

11 Roebuck A. Telephone support in the early post-discharge period following elective cardiac surgery: does it reduce anxiety and depression levels? Intensive Crit Care Nurs 1999; 15: 142-6.

12 Savage LS, Grap MJ. Telephone monitoring after early discharge for cardiac surgery patients. Am J Crit Care 1999; 8: 154-9.

13 Naylor MD, McCauley KM. The effects of a discharge planning and home follow-up intervention on elders hospitalized with common medical and surgical cardiac conditions. J Cardiovasc Nurs 1999; 14: 44-54.

14 Lewin B, Robertson IH, Cay EL, Irving JB, Campbell M. Effects of self-help post myocardial-infarction rehabilitation on psychological adjustment and use of health services. Lancet 1992; 339: 1036-40.[section 1] [section 2.4.3] [section 2.5.1] [section 2.5.2]

15 Bethell HJ, Mullee MA. A controlled trial of community based coronary rehabilitation. Br Heart J 1990; 64: 370-5. [section 1] [section 3]

16 Hamalainen H, Kallio V, Knuts LR, et al. Community approach in rehabilitation and secondary prevention after acute myocardial infarction: results of a randomized clinical trial. J Cardiopulmonary Rehabilitation 1991; 11: 221-6.

17 Cupples ME, McKnight A. Five year follow up of patients at high cardiovascular risk who took part in a randomised controlled trial of health promotion. BMJ 1999; 319: 687-8. [section 1] [section 5]

18 Schnohr P, Parner J, Lange P. Mortality in joggers: population based study of 4658 men. BMJ 2000; 321: 602-3.

19 Tunstall-Pedoe H, Kuulasmaa K, Mahonen M, Tolonen H, Ruokokoski E, Amouyel P. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: ten year results from 37 WHO MONICA Project populations. Monitoring trends and determinants in cardiovascular disease. Lancet 1999; 353: 1547-57.

20 Scottish Needs Assessment Programme. Provision of Cardiac Rehabilitation Services in Scotland - Needs assessment and guidelines for decision-makers. Glasgow: Public Health Institute of Scotland, 2001. [section 1] [section 2] [section 3] [section 7]

21 Horgan J, Bethell H, Carson P, Davidson C, Julian D, Mayou RA, Nagle R. Working party report on cardiac rehabilitation. Br Heart J 1992; 67: 412-8.

22 A report of a working group of the British Cardiac Society: cardiac rehabilitation services in the United Kingdom 1992. Br Heart J 1995; 73: 201-2.

23 Lewin RJ, Ingleton R, Newens AJ, Thompson DR. Adherence to cardiac rehabilitation guidelines: a survey of rehabilitation programmes in the United Kingdom. BMJ 1998; 316: 1354-5.

24 Bethell H, Turner S, Flint EJ, Rose L. The BACR database of cardiac rehabilitation units in the UK. Coronary Health Care 2000; 4: 92-5.

25 Thompson DR, Bowman GS, Kitson AL, de Bono DP, Hopkins A. Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London. Heart 1996; 75: 89-93.

26 Campbell NC, Grimshaw JM, Ritchie LD, Rawles JM. Outpatient cardiac rehabilitation: are the potential benefits being realised? J R Coll Physicians Lond 1996; 30: 514-9. [section 1] [section 4]

27 NHS Scotland. Coronary Heart Disease/Stroke Task Force report. Edinburgh: Scottish Executive; 2001.

28 Pell J, Pell A, Morrison C, Blatchford O, Dargie H. Retrospective study of influence of deprivation on uptake of cardiac rehabilitation. BMJ 1996; 313: 267-8.

29 Bethell HJ, Turner SC, Evans JA, Rose L. Cardiac rehabilitation in the United Kingdom. How complete is the provision? J Cardiopulm Rehabil 2001; 21: 111-5.

30 Campbell NC, Grimshaw JM, Rawles JM, Ritchie LD. Cardiac rehabilitation in Scotland: is current provision satisfactory? J Public Health Med 1996; 18: 478-80. [section 1] [section 5]

31 Campbell N, Ritchie L, Rawles J et al. Cardiac rehabilitation: the agenda set by post myocardial infarction patients. Health Educ J 1994; 53: 409-20. [section 1] [section 5]

32 Ades PA, Waldmann ML, McCann WJ, Weaver SO. Predictors of cardiac rehabilitation participation in older coronary patients. Arch Intern Med 1992; 152: 1033-5.

33 Ades PA, Woldmann ML, Polk DM, Coflesky JT. Referral patterns and exercise response in the rehabilitation of female coronary patients aged greater than or equal to 62 years. Am J Cardiol 1992; 69: 1422-5.

34 McGee HM, Horgan JH. Cardiac rehabilitation programmes: are women less likely to attend? BMJ 1992; 305: 283-4.

35 Dracup K, Baker DW, Dunbar SB, Dacey RA, Brooks NH, Johnson JC, Oken C, Massie BM. Management of heart failure. II Counselling, education and lifestyle modifications. JAMA 1994; 272: 1442-6. [section 1] [section 4]

36 Lockhart LL, Isles CG, McKeenan K et al. Myocardial Infarction in Dumfries and Galloway, a model for rural areas? Coronary Health Care, 1997; 1: 138-44.

37 Ruberman W, Weinblatt E, Goldberg JD, Chaudhary B. Psychosocial influences on mortality after myocardial infarction. New Eng J Med 1984; 311: 552-9.

38 Ladwig KH, Kieser M, Konig J, Breithardt G, Borggreffe M. Affective disorders and survival after acute myocardial infarction. Results from the post-infarction late potential study. Eur Heart J 1991; 12: 959-64.[section 2.1] [section 2.1.1]

39 Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction. Impact on 6-month survival. JAMA 1993; 270: 1819-25.[section 2.1] [section 2.1.1]

40 Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation 1995; 91: 999-1005.[section 2.1] [section 2.1.1] [section 2.1.2]

41 Barefoot JC, Helms MJ, Mark DB, Blumenthal JA, Califf RM, Haney TL, et al. Depression and long-term mortality risk in patients with coronary artery disease. Am J Cardiol 1996; 78: 613-7.

42 Denollet J, Vaes J, Brutsaert JD. Inadequate response to treatment in coronary heart disease: adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation 2000; 102: 630-5.

43 Hemingway H, Marmot M. Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ 1999, 318; 1460-7. [section 2.1] [section 2.1.3]

44 Levin LA, Perk J, Hedback B. Cardiac Rehabilitation - a cost analysis. J Internal Med 1991; 230: 427-434. [section 2] [section 7]

45 Frasure-Smith N, Lesperance F, Gravel G, Masson A, Juneau M, Talajic M, Bourassa M. Depression and health care costs during the first year following myocardial infarction. J Psychosomatic Res 2000; 48: 471-8.

46 Carney RM, Freedland KL, Rich MW, Jaffe AS. Depression as a risk factor for cardiac events in established coronary heart disease. A review of possible mechanisms. Ann Behav Med 1995; 17: 142-9.

47 Mayou R. Rehabilitation after heart attack. BMJ 1996; 313: 1498-9.[section 2.1.1] [section 2.3.2]

48 Ahern DK, Gorkin L, Anderson JL, Tierney C, Hallstrom A, Ewart C, et al. Biobehavioural variables and mortality or cardiac arrest in the Cardiac Arrhythmia Pilot Study (CAPS). Am J Cardiol 1990; 66; 59-62.

49 Mayou RA, Gill D, Thompson DR, Day A, Hicks N, Volmink J, et al. Depression and anxiety as predictors of outcome after myocardial infarction. Psychosom Med 2000; 62: 212-9.

50 Carney RM, Rich MW, Tevelde A, Saini J, Clark K, Jaffe AS. Major depressive disorder in coronary artery disease. Am J Cardiol 1987; 60: 1273-5.

51 Thomas SA, Friedmann E, Wimbush F, Schron E. Psychological factors and survival in the cardiac arrhythmia suppression trial (CAST): a re-examination. Am J Crit Care 1997; 6:116-26.

52 Haynes SG, Feinleib M, Kannel WB. The relationship of psychosocial factors to coronary heart disesase in the Framingham study. III. Eight-year incidence of coronary heart disesase. Am J Epidemiol 1980; 111: 37-58.

53 Rosenman RH, Brand RJ, Sholtz RI, Friedman M. Multivariate prediction of coronary heart disesase during 8.5 year follow up in Western Collaborative Group Study. Am J Cardiol 1976; 37: 903-10.

54 Bar-On D, Gilutz H, Maymon T, Zilberman E, Cristal N. Long-term prognosis of low-risk, post-MI patients: the importance of subjective perception of disease. Euro Heart J 1994; 15: 1611-5.

55 Furze G, Lewin B. Causal attributions for angina: results of an interview study. Coronary Health Care 2000; 4: 130-4.

56 Bar-On D. Causal attributions and the rehabilitation of myocardial infarction victims. J Social Clin Psychol 1987; 1: 114-22.

57 Maeland J, Havik O. Return to work after a myocardial infarction: the influence of background factors, work characteristics and illness severity. Scand J Soc Med 1986; 14: 183-95.

58 Petrie KJ, Weinman J, Sharpe N, Buckley J. Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study. BMJ 1996; 312: 1191-4.

59 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.

60 Beaufait DW, Nelson E, Landgraf JM, Hays RD, Kirk JW, Wasson JH et al. COOP measures of functional status. In: Stewart M, Tudiver F, Bass MJ, Dunn EV, Norton PG (eds). Tools for primary care research. London: Sage, 1992

61 Jenkinson C., Mayou R, Day A., Garratt A, Juszczak E, Evaluation of the Dartmouth COOP charts in a large scale community survey in the UK. J Public Health Medicine 2002 (in press).

62 Oldridge N, Gottleib M, Guyatt G, Jones NL, Streiner D, Feeny D. Predictors of health related quality of life with cardiac rehabilitation after acute myocardial infarction. J Cardiopulm Rehabil 1998; 18: 95-103.

63 Lewin R, Thompson D, Martin C, Stuckey N, Devlen J, Michaelson S, Maguire P. Validation of the Cardiovascular Limitations and Symptoms Profile (CLASP) in chronic stable angina. J Cardiopulmon Rehab 2002 (in press).

64 Linden W, Stossel C, Maurice J. Psychosocial Interventions for patients with coronary artery disease: a meta-analysis. Arch Intern Med 1996; 156: 745-52.[section 2.3] [section 2.3.1] [section 2.3.2] [section 2.4.1]

65 Dusseldorp E, van Elderen T, Maes S, Meulman J, Kraaij V. A meta-analysis of psychoeducational programs for coronary heart disease patients. Health Psychol 1999; 18: 506-19.[section 2.3] [section 2.3.1] [section 2.3.2] [section 2.4.1] [section 4]

66 Mullen PD, Mains DA, Velez R. A meta-analysis of controlled trials of cardiac patient education. Patient Educ Couns 1992; 19: 143-62. [section 2.3] [section 2.3.1] [section 2.3.2]

67 Egan FM. A review of current approaches to cardiac in-patient education. Nursing Review 1999;17: 8-12.

68 Jones DA, West RR. Psychological rehabilitation after myocardial infarction: multicentre randomised controlled trial. BMJ 1996; 313; 1517-21.

69 Frasure-Smith N, Lesperance F, Prince RH, Verrier P, Garber RA, Juneau M, et al. Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. Lancet 1997; 350: 473-9.

70 Lesperance F, Frasure-Smith N. Depression in patients with cardiac disease: a practical review. J Psychosom Res 2000; 48: 379-91.[section 2.3.2] [section 2.5.2]

71 Coates A, McGhee H, Stokes H, Thompson D (eds). BACR Guideline for Cardiac Rehabilitation. Oxford, Blackwell Scientific 1995. [section 2] [section 3]

72 Treatment choice in psychological therapies and counselling - an evidence based clinical practice guideline. London: Department of Health, 2001. [section 2.4.2] [section 2.5.2] [section 2.5.3]

73 Lewin B, Cay EL, Todd I, Sorgal I, Gordfield N, Bloomfield P, et al. The Angina Management Programme: a rehabilitation treatment. Br J Cardiol 1995; 2: 221-6. [section 2] [section 4] [section 5]

74 Miller W, Rollnick S. Motivational Interviewing, preparing people to change addictive behaviour, Guildford Press, 1991.

75 Rahe RH, Ward HW, Hayes V. Brief group therapy in myocardial infarction rehabilitation: three- to four-year follow-up of a controlled trial. Psychsom Med 1979; 41: 229-42. [section 2] [section 5]

76 Mullen PD, Simons-Morton DG, Ramirez G, Frankowski RF, Green LW, Mains DA. A meta-analysis of trials evaluating patient education and counseling for three groups of preventive health behaviors. Patient Educ Couns 1997; 32: 157-73.

77 Bell JM. A comparison of a multidisciplinary home based cardiac rehabilitation programme with comprehensive conventional rehabilitation in post-myocardial infarction patients. [PhD thesis]. London: University of London; 1998. [section 2] [section 3]

78 O'Rourke A, Hampson SE. Psychosocial outcomes after an MI: evaluation of two approaches to rehabilitation. Psychol Health Med 1999; 4: 393-402.

79 Gill D, Hatcher S. Antidepressants for depression in people with medical illness (Cochrane Review). In: The Cochrane Library, Issue 1, 2001. Oxford: Update Software.

80 Thompson DR, Meddis R. A prospective evaluation of in-hospital counselling for first time myocardial infarction men. J Psychosom Res 1990; 34: 237-48.

81 Mayou RA, Thompson DR, Clements A, Davies CH, Goodwin SJ, Normington K, Hicks H, et al. Guideline-based early rehabilitation after myocardial infarction: a pragmatic randomised controlled trial. J Psychosomatic Res 2002 (in press).

82 Balesteri M, Williams P, Wilkinson G. Specialist mental health treatment in general practice: a meta-analysis. Psychol Med 1988; 18: 711-7.

83 Stein DM, Lambert MJ. Graduate training in psychotherapy: are therapy outcomes enhanced? J Consult Clin Psychol 1995; 63: 182-96.

84 Dennis M, O'Rourke S, Slattery J, Staniforth T, Warlow C. Evaluation of a stroke family care worker: results of a randomised controlled trial. BMJ 1997; 314: 1071-7.

85 Scottish Intercollegiate Guidelines Network (SIGN). Management of diabetes. A national clinical guideline. Edinburgh: SIGN, 2001 (SIGN publication no.55).

86 Hooper L (2001) Dietetic guidelines: diet in secondary prevention of cardiovascular disease J Human Nutrition and Dietetics 14, 297-305.

87 British Heart Foundation. Factfile 2/2000 Sexual activity and heart disease. (http://www.bhf.org.uk).

88 Physical Activity and Cardiovascular Health. National Institute of Health Consensus Developmental Panel on Physical Activity and Cardiovascular Health. JAMA 1996;276:241-6. [section 3] [section 4]

89 Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995; 273: 402-7.

90 Shaw A, McMunn A, Field J, editors. The Scottish health survey 1998. Edinburgh: Scottish Executive Department of Health; 2000. [cited December 18 2001]. Available from url: http://www.show.scot.nhs.uk/scottishhealthsurvey/ [section 3] [section 3.6.1]

91 Goble AJ, Worcester MU. Best practice guidelines for cardiac rehabilitation and secondary prevention. Melbourne: The Heart Research Centre, on behalf of Department of Human Services Victoria; 1999. [cited December 18 2001]. Available from url: http://www.dhs.vic.gov.au/phd/9905015/contents.htm [section 2] [section 3] [section 3.1.2] [section 3.4] [section 3.6.1] [Table 1] [section 4] [section 8]

92 Health Education Board for Scotland. Indicators for Health Education in Scotland. Summary findings from the 1998 Health Education Population Survey. Edinburgh: HEBS; 2000. [cited December 18 2001]. Available from url: http://www.hebs.scot.nhs.uk/researchcentre/pdf/HEPS98.pdf

93 Jolliffe JA, Rees K, Taylor RS, Thompson D, Oldridge N, Ebrahim S. Exercise-based rehabilitation for coronary heart disease (Cochrane Review). In: Cochrane Library, Issue 4, 2000. Update Software. [section 2] [section 3.1.1] [section 3.6] [section 3.6.2] [section 4] [section 8]

94 Haskell WL. Cardiovascular complications during exercise training of cardiac patients. Circulation 1978; 57: 920-4.[section 3.2] [section 3.6.1]

95 Van Camp SP, Peterson RA. Cardiovascular complications of outpatient cardiac rehabilitation programs. JAMA 1986; 256: 1160-3. [section 3.2] [section 3.6.1]

96 Vongvanich P, Paul-Labrador MJ, Merz C. Safety of medically supervised exercise in a cardiac rehabilitation center. Am J Cardiology 1996; 77: 1383-5.

97 Tobin D, Thow MK. The 10m Shuttle Walk Test with Holter monitoring: an objective outcome measure for cardiac rehabilitation. Coronary Health Care 1999; 3, 3-17. [section 3] [section 3.3.1] [Box 1]

98 Demers C, McKelvie RS, Negassa A, Yusuf S. Reliability, validity, and responsiveness of the six-minute walk test in patients with heart failure. Am Heart J 2001; 142: 698-703.

99 Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992; 47: 1019-1024. [section 3.3.1] [Box 1]

100 Arnott AS. Assessment of functional capacity in cardiac rehabilitation. Coronary Health Care 1997; 1, 30-6.[section 3.3.1] [Box 1]

101 Payne GE, Skehan JD. Shuttle walking test: a new approach for evaluating patients with pacemakers. Heart 1996; 75: 414-8.

102 Francis DP. Low-cost shuttle walk test for assessing exercise capacity in chronic heart failure. Int J Cardiol 2000; 76: 105-6.

103 Morales FJ, Montemayor T, Martinez A. Shuttle versus six-minute walk test in the prediction of outcome in chronic heart failure. Int J of Cardiol 2000: 76, 101-5.

104 Chartered Society of Physiotherapy. Standards for the exercise component of phase III cardiac rehabilitation. London: The Society, 1999. [section 3.4] [section 3.6] [section 3.7]

105 Miller NH, Haskell WL, Berra K, DeBusk RF. Home versus group exercise training for increasing functional capacity after myocardial infarction. Circulation 1984; 70: 645-9.

106 DeBusk RF, Haskell WL, Miller NH, Berra K, Taylor C, Berger WE 3rd, et al. Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: a new model for patient care. Am J Cardiol 1985; 55: 251-7.

107 Taylor CB, Houston-Miller N, Ahn DK, Haskell W, DeBusk RF. The effects of exercise training programs on psychosocial improvement in uncomplicated postmyocardial infarction patients. J Psychosom Res 1986; 30: 581-7.

108 Taylor CB, Houston-Miller N, Haskell WL, Debusk RF. Smoking cessation after acute myocardial infarction: the effects of exercise training. Addict Behav 1988; 13: 331-5.

109 Sparks KE, Shaw DK, Eddy D, Hanigosky P, Vantrese J. Alternatives for cardiac rehabilitation patients unable to return to a hospital-based program. Heart Lung 1993; 22: 298-303.

110 Kugler J, Dimsdale JE, Hartley LH, Sherwood J. Hospital supervised vs home exercise in cardiac rehabilitation: effects on aerobic fitness, anxiety, and depression. Arch Phys Med Rehabil 1990; 71: 322-5. [section 3.5] [section 3.6.2]

111 Brubaker PH, Rejeski WJ, Smith MJ, Sevensky KH, Lamb KA, Sotile WM, et al. A home-based maintenance exercise program after center-based cardiac rehabilitation: effects on blood lipids, body composition, and functional capacity. J Cardiopulm Rehabil 2000; 20: 50-6.

112 Kodis J, Smith KM, Arthur HM, Daniels C, Suskin N, McKelvie RS. Changes in exercise capacity and lipids after clinic versus home-based aerobic training in coronary artery bypass graft surgery patients. J Cardiopulm Rehabil 2001; 21: 31-6.

113 Ades PA, Pashkow FJ, Fletcher G, Pina IL, Zohman LR, Nestor JR. A controlled trial of cardiac rehabilitation in the home setting using electrocardiographic and voice transtelephonic monitoring. Am Heart J 2000; 139: 543-8.

114 Heath GW, Maloney PM, Fure CW. Group exercise versus home exercise in coronary artery bypass graft patients: effects in physical activity habits. J Cardpulm Rehab 1987; 7: 190-5.

115 Stevens R, Hanson P. Comparison of supervised and unsupervised exercise training after coronary bypass surgery. Am J Cardiol 1984; 53: 1524-8.

116 Barnason S, Zimmerman L. A comparison of patient teaching outcomes among postoperative coronary artery bypass graft (CABG) patients. Prog in Cardiovasc Nurs 1995; 10: 11-20.

117 Taylor CB, Miller NH, Smith PM, DeBusk RF. The effect of a home-based, case-managed, multifactorial risk-reduction program on reducing psychological distress in patients with cardiovascular disease. J Cardpulm Rehabil 1997; 17: 157-62.

118 Blumenthal JA, Rejeski WJ, Walsh-Riddle M, Emery CF, Miller H, Roark S et al. Comparison of high- and low- intensity exercise training early after acute myocardial infarction. Am J Cardiol 1988; 61: 26-30.

119 Blumenthal JA, Emery CF, Rejeski WJ. The effects of exercise training on psychosocial functioning after myocardial infarction. J Cardpulm Rehabil 1988; 8: 183-93.

120 Worcester MC, Hare DL, Oliver RG, Reid MA, Goble AJ. Early programmes of high and low intensity exercise and quality of life after acute myocardial infarction. BMJ 1993; 307: 1244-7.

121 Goble AJ, Hare DL, Macdonald PS, Oliver RG, Reid MA, Worcester MC. Effect of early programmes of high and low intensity exercise on physical performance after transmural acute myocardial infarction. Br Heart J 1991;65:126-31.

122 American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for cardiac rehabilitation programs. 2nd ed. Champaign (IL): Human Kinetics; 1995.

123 Amercan College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. London: Williams and Wilkins; 2000.

124 American Heart Association. Cardiac rehabilitation programs. A statement for healthcare professionals from the American Heart Association. Circulation 1994; 90: 1602-10.

125 DeBusk RF, Blomqvist CG, Kouchoukos NT, Luepker RV, Miller HS, Moss AJ, et al. Identification and treatment of low-risk patients after acute myocardial infarction and coronary-artery bypass graft surgery. N Engl J Med 1986; 314: 161-6.

126 Fletcher GF, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Exercise standards. A statement for health professionals from the American Heart Association. Circulation 1990; 82: 2286-322.

127 Dressendorfer RH, Franklin BA, Cameron JL,, Trahan KJ, Gordon S, Timmis GC. Exercise training frequency in early post-infarction cardiac rehabilitation. Influence on aerobic conditioning. J Cardiopulm Rehabil 1995; 15: 269-76.

128 Borg G. Borg's perceived exertion and pain scales. Champaign (IL) : Human Kinetics, 1998. [Box 1] [section 3.7]

129 Borg G. Perceived exertion as indicator of somatic stress. Scand J Rehabil Med 1970; 2: 92-8.

130 Hall LK. Developing and managing cardiac rehabilitation programs. Champaign (IL): Human Kinetics; 1993.[section 3.6.1] [section 3.7]

131 Whaley MH, Brubacker PH, Kaminsky LA, Miller CR. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients. J Cardiopulm Rehabil 1997; 17: 261-7.

132 Adams KJ, Barnard KL, Swank AM, Mann E, Kushnick MR, Denny DM. Combined high intensity strength and aerobic training in diverse phase II cardiac rehabilitation patients. J Cardiopulm Rehabil 1999; 4: 209-15.

133 Beniamini Y, Rubenstein JJ, Faigenbaum AD, Lichstein AH, Crim MC. High-intensity strength training of patients enrolled in an outpatient cardiac rehabilitation program. J Cardiopulm Rehabil 1999; 19: 8-17.

134 Abe T, DeHoyos DV, Pollock ML, Garzarella L. Time course for strength and muscle thickness changes following upper and lower body resistance training in men and women. Eur J Appl Physiol 2000; 81: 174-80.

135 Oldridge NB, Guyatt GH, Fischer ME, Rimm AA. Cardiac rehabilitation after myocardial infarction. Combined experience of randomised clinical trials. JAMA 1988; 260: 945-50.[section 4] [section 4.1] [section 5] [section 7] [section 8]

136 O'Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenbarger RS Jr, et al. An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation 1989; 80: 234-244.[section 4] [section 4.1]

137 McCormack A, Fleming D, Charlton J. Morbidity statistics from general practice: fourth national study 1991-1992: a study carried out by the Royal College of General Practitioners, Office of Population Censuses and Surveys, and the Department of Health. London: HMSO; 1995. [section 4] [section 4.3] [section 4.4] [section 7]

138 Engblom E, Korpilahti K, Hamalainen H, Ronnemaa T, Puukka P. Quality of life and return to work 5 years after coronary artery bypass surgery. Long-term results of cardiac rehabilitation. J Cardiopulm Rehabil 1997; 17: 29-36.

139 Wosornu D, Bedford D, Ballantyne D. A comparison of the effects of strength and aerobic exercise training on exercise capacity and lipids after coronary artery bypass surgery. Eur Heart J 1996; 17: 854-863.

140 Carlsson R. Serum cholesterol, lifestyle, working capacity and quality of life in patients with coronary artery disease. Experiences from a hospital-based secondary prevention programme. Scand Cardiovasc J Suppl 1998; 50: 1-20.

141 Krachler M, Lindschinger M, Eber B, Watzinger N, Wallner S. Trace elements in coronary heart disease: impact of intensified lifestyle modification. Biol Trace Elem Res 1997; 60: 175-185.

142 Gaw-Ens B, Laing GP. Risk factor reduction behaviours in coronary angioplasty and myocardial infarction patients. Can J Cardiovasc Nurs 1994; 5: 4-12.

143 Smith K. Report for the CHD Task Force on Cardiac Rehabilitation.

144 Hofman-Bang C, Lisspers J, Nordlander R, Nygren A, Sundin O, Ohman A,et al. Two-year results of a controlled study of residential rehabilitation for patients treated with percutaneous transluminal coronary angioplasty. A randomized study of a multifactorial programme. Eur Heart J 1999; 20: 1465-74.

145 Wallner S, Watzinger N, Lindschinger M, Smolle KH, Eber B, Dittrich P, et al. Effects of intensified lifestyle modification on the need for further revascularisation after coronary angioplasty. Eur J Clin Invest 1999; 29: 372-9.

146 US Department for Health and Human Services. Agency for Health care Policy and Research. Cardiac Rehabilitation. Rockville (MD): The Agency; 1995. Clinical Practice Guideline No 17. AHCPR Publication No. 96-0672. [section 2] [section 3] [section 3.6.1] [section 3.6.2] [section 3.8] [section 4] [section 4.3] [section 4.4] [section 4.5] [section 4.7.1] [section 8]

147 University of York. NHS Centre for Reviews and Dissemination. Cardiac rehabilitation. Effective Health Care 1998; 4. [cited 19 December 2001]. Available from url http://www.york.ac.uk/inst/crd/ehc44warn.htm [section 4.3] [section 4.4] [section 4.5] [section 4.6] [section 5] [section 5.5] [section 8]

148 Scottish Health Purchasing Information Centre. Cardiac Rehabilitation. SHPIC; 1998. [Cited 19 December 2001] Available from URL http://www.nhsconfed.net/scotland/shpic/doc18.htm [section 4.3] [section 4.4]

149 Thompson DR, Bowman GS. Evidence for the effectiveness of cardiac rehabilitation. Intensive Crit Care Nurs 1998; 14: 38-48. [section 4.3] [section 4.4] [section 4.5]

150 LaFontaine T. The role of lipid management by diet and exercise in the progression, stabilization, and regression of coronary artery atherosclerosis. J Cardiopulm Rehabil 1995; 15: 262-8.

151 Gagliardi JA, Prado NG, Marino JC, Lederer S, Ramos AO, Bertolasi CA. Exercise training and heparin pretreatment in patients with coronary artery disease. Am Heart J 1996; 132: 946-51.

152 Nieuwland W, Berkhuysen MA, van Veldhuisen DJ, Brugemann J, Landsman ML, van Sonderen, et al. Differential effects of high-frequency versus low-frequency exercise training in rehabilitation of patients with coronary artery disease. J Am Coll Cardiol 2000; 36: 202-7. [section 4] [section 7]

153 Oberman A, Fletcher GF, Lee J, Nanda N, Fletcher BJ, Jensen B, et al. Efficacy of high-intensity exercise training on left ventricular ejection fraction in men with coronary artery disease (the Training Level Comparison Study). Am J Cardiol 1995; 76: 643-7. [section 3] [section 4]

154 Ornish D, Scherwitz LW, Billings JH, Brown SE, Gould KL, Merritt TA, et al. Intensive lifestyle changes for reversal of coronary heart disease. JAMA 1998; 280: 2001-7.

155 Arthur HM, Daniels C, McKelvie R, Hirsh J, Rush B. Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized, controlled trial. Ann Intern Med 2000; 133: 253-62. [section 4] [section 5]

156 O'Neill C, Normand C, Cupples M, McKnight A. A comparison of three measures of perceived distress: results from a study of angina patients in general practice in Northern Ireland. J Epidemiol Community Health 1996; 50: 202-6. [section 4] [section 5] [section 5.2]

157 Cupples ME, McKnight A. Randomised controlled trial of health promotion in general practice for patients at high cardiovascular risk. BMJ 1994; 309: 993-6. [section 4] [section 5]

158 Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. Circulation 1999; 99: 1173-82.

159 Experience from controlled trials of physical training in chronic heart failure. Protocol and patient factors in effectiveness in the improvement in exercise tolerance. European Heart Failure Training Group. Eur Heart J 1998; 19: 466-75. [section 4.4] [section 4.6]

160 Rich MW. Heart failure disease management: a critical review. J Card Fail 1999; 5: 64-75.[section 4.4] [section 4.5] [section 5]

161 Blue L, Lang E, McMurray JV, Davie AP, McDonagh TA, Murdoch DR, Petrie MC, et al. Randomised controlled trial of specialist nurse intervention in heart failure. BMJ 2001; 323: 715-8.

162 Rosenberg SG. Patient education leads to better care for heart patients. HSMHA Health Rep 1971; 86: 793-802.

163 Jaarsma T, Halfens R, Huijer Abu-Saad H, Dracup K, Gorgels T, van Ree J, et al. Effects of education and support on self-care and resource utilization in patients with heart failure. Eur Heart J 1999; 20: 673-82.

164 Stahle A, Nordlander R, Ryden L, Mattsson E. Effects of organized aerobic group training in elderly patients discharged after an acute coronary syndrome. A randomized controlled study. Scand J Rehabil Med 1999; 31: 101-7.

165 Stahle A, Mattsson E, Ryden L, Unden A, Nordlander R. Improved physical fitness and quality of life following training of elderly patients after acute coronary events. A 1 year follow-up randomized controlled study. Eur Heart J 1999; 20: 1475-84.

166 Stahle A, Nordlander R, Bergfeldt L. Aerobic group training improves exercise capacity and heart rate variability in elderly patients with a recent coronary event. A randomized controlled study. Eur Heart J 1999; 20: 1638-46.

167 Bondestam E, Breikss A, Hartford M. Effects of early rehabilitation on consumption of medical care during the first year after acute myocardial infarction in patients > or =65 years of age. Am J Cardiol 1995; 75: 767-771. [section 4] [section 7]

168 Brezinka V, Kittel F. Psychosocial factors of coronary heart disease in women: a review. Soc Sci Med 1996; 42: 1351-65.

169 Toobert DJ, Strycher LA, Glasgow RE. Lifestyle change in women with coronary heart disease: what do we know? J Womens Health 1998; 7: 685-99.

170 Kobashigawa JA, Leaf DA, Lee N, Gleeson MP, Liu H, Hamilton MA, et al. A controlled trial of exercise rehabilitation after heart transplantation N Engl J Med 1999; 340: 272-7. [Erratum in N Engl J Med 1999; 340: 976]

171 Jairath N, T Salerno, Chapman J, Dornan J, Weisel R. The effect of moderate exercise training on oxygen uptake post-aortic/mitral valve surgery. J Cardiopulm Rehabil 1995; 15: 424-30.

172 Fredriksen PM, Kahrs N, Blaasvaer S, Sigurdsen E, Gundersen O, Roeksund O, Norgaand G, et al. Effects of physical training in children and adolescents with congenital heart disease. Cardiol Young 2000; 10: 107-14.

173 Tan LL, Huang JF, Wang H. [The effect of rehabilitation training on postoperative recovery of children with congenital heart disease]. Zhunghua Hu Li Za Zhi 1996; 31: 314-5.

174 Wang H, Huang JF, Ji N [The effect of adaptive behavior training on rehabilitation of children with congenital heart disease]. Zhunghua Hu Li Za Zhi 1996; 31: 190-2.

175 Lewin RJ, Frizelle DJ, Kaye GC. A rehabilitative approach to patients with internal cardioverter-defibrillators. Heart 2001; 85: 371-2.

176 Brown N, Melville M, Gray D, Young T, Munro J, Skene AM, et al. Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart 1999; 81: 352-8.

177 Campbell NC, Thain J, Deans HG, Ritchie LD, Rowles JM, Squair JL. Secondary prevention clinics for coronary heart disease: randomised trial of effect on health. BMJ 1998; 316: 1434-7. [section 5] [section 5.2]

178 Mahon NG, O'rorke C, Codd MB, McCann HA, McGarry K, Sugrue DD. Hospital mortality of acute myocardial infarction in the thrombolytic era. Heart 1999; 81: 478-82.

179 Tunstall-Pedoe H, Woodward M, Tavendale R, A'Brook R, McCluskey MK. Comparison of the prediction by 27 different factors of coronary heart disease and death in men and women of the Scottish Heart Health Study: cohort study. BMJ 1997; 315: 722-9.

180 Capewell S, Kendrick S, Boyd J, Cohen G, Juszczak E, Clarke J. Measuring outcomes: one month survival after acute myocardial infarction in Scotland. Heart 1996; 76: 70-5.

181 Melville M, Brown N, Gray D, Young T, Hampton J. Outcome and use of health services four years after admission for acute myocardial infarction: case record follow up study. BMJ 1999; 319: 230-1.

182 Campbell NC, Thain J, Deans HG, Ritchie LD, Rawles JM. Secondary prevention in coronary heart disease: baseline survey of provision in general practice. BMJ 1998; 316: 1430-4.

183 EUROASPIRE I and II Group. (Action on Secondary Prevention through Intervention to Reduce Events). Clinical reality of coronary prevention guidelines: a comparison of EUROASPIRE I and II in nine countries. Lancet 2000; 357: 995-1001. [section 5] [section 5.1]

184 Isles C, Stuckey N, Campbell N. Secondary prevention of CHD and the NSF: barriers to implementation. Cardiabetes 2001; 1: 11-17.

185 Preliminary result of the MRC/BHF Heart Protection Study. http://www.ctsu.ox.ac.uk/~hps/

186 Scottish Intercollegiate Guidelines Network (SIGN). Interface between the hospital and the community: The immediate discharge document. Edinburgh: SIGN; 1996. (SIGN publication no. 5). [Under review 2001-2]

187 McAlister F, Lawson FM, Teo KK, Armstrong PW. Randomised trials of secondary prevention programmes in coronary heart disease: systematic review. BMJ 2001; 323: 957-62.

188 Campbell NC, Thain J, Deans HG, Ritchie LD, Rawles JM. Secondary prevention in coronary heart disease: a randomised trial of nurse led clinics in primary care. Heart 1998; 80: 447-52.

189 Moher M, Yudkin P, Wright L, Turner R, Fuller A, Schofield T, Mant D. Cluster randomised controlled trial to compare three methods of promoting secondary prevention of coronary heart disease in primary care. BMJ 2001; 322: 1338.

190 Jolly K, Bradley F, Sharp S, Smith H, Thompson S, Kinmonth AL, Mant D for the SHIP collaborative group. Randomised controlled trial of follow up care in general practice of patients with myocardial infarction and angina: final results of the Southampton Heart Integrated Care Project (SHIP). BMJ 1999; 318: 706-11. [section 5.1] [section 5.2]

191 Feder G, Griffiths C, Eldridge S, Spence M. The effect of postal prompts to patients and General Practitioners on the quality of primary care after a coronary event (POST): randomised controlled trial. BMJ 1999; 318: 1522-6.[section 5.1] [section 5.2]

192 Weinberger M, Oddone EZ, Henderson WG. Does increased access to primary care reduce hospital readmissions? Veterans Affairs Cooperative Study group on Primary Care and Hospital Readmission. N Engl J Med 1996; 334: 1441-7.

193 McHugh F, Lindsay GM, Hanlon P, Hutton I, Brown MR, Morrison C, Wheatley DJ. Nurse led shared care for patients on the waiting list for coronary artery bypass surgery: a randomised controlled trial. Heart 2001; 86: 317-23.

194 Campbell NC, Grimshaw JM, Ritchie LD, Rawles JM. Outpatient cardiac rehabilitation: are the potential benefits being realised? J R Coll Physicians Lond 1996; 30: 514-9.

195 http://www.chss.org.uk

196 Clark NM, Janz NK, Becker MH, Schork MA, Wheeler J, Liang J, et al. Impact of self-management education on the functional health status of older adults with heart disease. Gerontologist 1992; 32: 438-43.

197 Fielding R. A note on behavioural treatment in the rehabilitation of myocardial infarction patients. Br J Soc Clin Psychol 1979; 19: 157-61.

198 Horlick L, Cameron R, Firor W, Bhalerao U, Baltzan R. The effects of education and group discussion in the postmyocardial infarction patient. J Psychosom Res 1984; 28: 485-92.

199 Schulte MB, Pluym B, Van Schendel G. Reintegration with duos: a self care program following myocardial infarction. Patient Educ Couns 1986; 8: 233-44.

200 Stern MJ, Gorman PA, Kaslow L. The group counseling v exercise therapy study. A controlled intervention with subjects following myocardial infarction. Arch Intern Med 1983; 143: 1719-25.

201 Mutrie N, Blamey A, Davison R, Kelly M. Class-based and home-based activities for older people. Research report no. 32/research digest no.30. Edinburgh: The Scottish Sports Council, 1993.

202 Brodie D. Cardiac rehabilitation: An educational resource. London: British Association for Cardiac Rehabilitation, 1999; pp.174-5.

203 http://www.clinicalstandards.org

204 http://www.doh.gov.uk/nsf/coronary.htm

205 Baker CD, Lorimer AR. Cardiology: the development of a managed clinical network. BMJ 2000; 321: 1152-3.

206 Allison TG, Williams DE, Miller TD, Pateen CA, Bailey KR, Squires RW, et al. Medical and economic costs of psychological distress in patients with coronary artery disease. Mayo Clin Proc 1995; 70: 734-42.

207 Oldridge N, Furlong W, Feeny D, Torrance G, Guyatt G, Crowe J et al. Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction. Am J Cardiol 1993; 72: 154-61.

208 Carlson JJ, Johnson JA, Franklin BA VanderLaan RL. Program participation, exercise adherence, cardiovascular outcomes, and program cost of traditional versus modified cardiac rehabilitation. Am J Cardiol 2000; 86: 17-23.

209 van Dixhoorn JJ, Duivenvoorden HJ. Effects of relaxation therapy on cardiac events after myocardial infarction: a five year follow up study. J Cardiopulm Rehabil 1999; 19: 178-185.

210 Taylor R, Kirby B. Cost implications of cardiac rehabilitation in older patients. Coronary Artery Disease 1999; 10: 53-56.

211 Taylor R, Kirby B. The evidence base for the cost effectiveness of cardiac rehabilitation. Heart 1997; 78: 5-6.

212 Ades PA, Pashkow FJ, Nestor JR. Cost-effectiveness of cardiac rehabilitation after myocardial infarction. J Cardiopulm Rehabil 1997; 17: 222-31.

213 Oldridge NB. Cardiac rehabilitation and risk factor management after myocardial infarction. Clinical and economic evaluation. Wien Klin Wochenschr Suppl 1997; 2: 6-16.