Mario Ivanuša*, Kristina Narančić Skorić, Srećka Glavaš Vražić, Dubravka Kruhek Leontić, Marija Heinrich, Lidija Mažuran Brkljačić, Gabrijela Ćurić, Goran Krstačić Poliklinika za prevenciju kardiovaskularnih bolesti i re- habilitaciju, Zagreb, Hrvatska Institute for Cardiovascular Prevention and Rehabilitation, Zagreb, Croatia SAžeTAK: Kardiovaskularna rehabilitacija timski je postupak koji se interdisciplinarnim i transdiscipli- narnim pristupom zdravstvenih djelatnika u specijaliziranim bolničkim ili ambulantnim centrima pro- vodi kao dio kardiološkog liječenja bolesnika. Istodobno provedeni kardiovaskularni trening pod nadzo- rom kardiologa uz telemetrijsko monitoriranje elektrokardiograma, cjelovita neinvazivna dijagnostička obrada, psihodijagnostika i savjetovanje psihologa, terapijska edukacija te nefarmakološke mjere uz uo- bičajeno medikamentno liječenje čine neodvojive sastavnice programa kardiovaskularne rehabilitacije. Članak donosi prikaz organizacije rada ambulantne kardiovaskularne rehabilitacije u Republici Hrvat- skoj, koja je učinkovit, siguran, individualno prilagodljiv i ekonomski isplativ postupak koji smanjuje smrtnost, povećava funkcionalni kapacitet, vraća radnu sposobnost i poboljšava kvalitetu života. SummARy: Cardiovascular rehabilitation is a part of cardiologic treatment that is performed in spe- cialized hospital or outpatient centers by a team of medical personnel using an interdisciplinary and transdiciplinary approach. Cardiovascular training with telemetric electrocardiogram monitoring under the supervision of a cardiologist, full non-invasive diagnostic testing, psychodiagnostics and psychological counseling, patient education, and non-pharmacological measures coupled with typical medication treatment are all integral components of cardiovascular rehabilitation programs. This ar- ticle describes the organization of outpatient cardiovascular rehabilitation in the Republic of Croatia, which is a effective, safe, cost-effective procedure that can be tailored to the patient and reduces mor- tality, increases functional capacity, restores work ftness and work capacity, and improves quality of life. Ključne Riječi: kardiovaskularna rehabilitacija, sekundarna prevencija, tjelesna aktivnost. KeyWORDS: cardiovascular rehabilitation, secondary prevention, physical activity. CiTATiOn: Cardiol Croat. 2015;10(1-2):28-42. | DOi: http://dx.doi.org/10.15836/ccar.2015.28 *ADDReSS fOR CORReSPOnDenCe: Mario Ivanuša, Poliklinika za prevenciju kardiovaskularnih bolesti i rehabilitaciju, Draškovićeva 13, HR-10000 Zagreb, Croatia. / Phone: +385-1-4612-346 / Fax: +385-1-4612-343 E-mail: mivanusa@gmail.com ORCID: Mario Ivanuša, http://orcid.org/0000-0002-6426-6831 • Kristina Narančić Skorić, http://orcid.org/0000-0002-3888-4804 • Srećka Glavaš Vražić, http://orcid.org/0000-0001-5035-2969 • Dubravka Kruhek Leontić, http://orcid.org/0000-0001-7899-2044 • Marija Heinrich, http://orcid.org/0000-0002-7107-3405 • Lidija Mažuran Brkljačić, http://orcid.org/0000-0002-0572-4388 • Gabrijela Ćurić, http://orcid.org/0000-0002-4718-1019 • Goran Krstačić, http://orcid.org/0000-0003-0427-7229 Pregledni rad Review article D osadašnja su istraživanja dokazala su da odgovarajuća kontrola vrijednosti arterij- skoga tlaka u bolesnika s arterijskom hi- pertenzijom, optimalna vrijednost lipida u onih s dislipidemijom i vrijednosti glikemije u pacije- nata s dijabetesom i metaboličkim sindromom te prestanak pušenja, optimalna tjelesna aktivnost i kontrola psihosocijalnih čimbenika smanjuju pobol i smrtnost od srčanožilnih bolesti, pogla- vito koronarne bolesti srca (KBS). 1-3 No, usprkos S tudies have shown that appropriate man- agement of blood pressure in patients with arterial hypertension, optimal lipid values in patients with dyslipidemia, and glu- cose values in patients with diabetes and meta- bolic syndrome, as well as smoking cessation, optimal physical activity, and management of psychosocial factors reduce comorbidity and mortality form cardiovascular diseases, coro- nary heart disease (CHD) in particular. 1-3 How- Ambulantna kardiovaskularna rehabilitacija u Hrvatskoj Outpatient Cardiovascular Rehabilitation in Croatia RECEIVED: February 22, 2015 ACCEPTED: February 25, 2015 Cardiologia Croatica 2015;10(1-2):28.