In three studies, investigating a similar “disstress management” over a one year period and following patients for an additional 5 years, there was a homogeneous trend towards reduction in cardiovascular morbidity (non-fatal MI, unstable angina, stroke, TIA, PCI, CABG, and peripheral revascularisation) that just failed to be significant (RR 0.74; 95% CI (0.51–1.07) [ 212 ].
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Cardiac Rehabilitation in German Speaking Countries of Europe-Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 2.
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The sentences
There was a positive trend towards reduction in depressive symptoms for “distress management” and “lifestyle changes”.