The fragrance starts soft, warm and very feminine and you can't really smell the individual fragrance components. A clinical review article that argues that the current model of centre based cardiac rehabilitation is unsustainable and requires a patient centred strategy.

Patients with newly diagnosed chronic heart failure and chronic heart failure with a step change in clinical presentation 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.Provides answers to frequently asked questions about cardiac rehabilitation, including who needs it and for how long. A video in which Dave shares his battle with his cholesterol levels and talks about how he got to where he is now, successfully managing his condition. I am always a little timid and careful when testing oriental fragrances, because you can really experience the greatest, but also most horrible things. I've really experienced a few surprises, both positive and negative.

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. Patients should be offered a choice of community based and home based cardiac rehabilitation programmes to fit their needs and preferencesClark 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. A policy statement for clinicians and commissioners from the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation.

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* Patients with heart valve replacements for reasons other than acute coronary syndrome and heart failure Al-Nourus from Al-Rehab with fragrance features peach, mango, melon, lime, white musk, white lily and iris flower for Women. From sweet chocolate candy to delicate powdery flowers with honey, to granny's penetrating rose soap with chewing tobacco, a gothic dentist, or simply a cowshed with mint.... there was really EVERYTHING. 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

References

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. 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. 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) 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

Footnotes

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: Provides evidence on alternatives to the traditional hospital based model of cardiac rehabilitation.