Medically indigent patients seem to have rehabilitation compliance and benefit rates similar to those of insured or private-paying patients if rehabilitation is initiated promptly and is structured appropriately.687 In addition to contributing to a patient s sense of well-being, participation in cardiac rehabilitation offers an economic benefit. During a 3-year (mean: 21 months) follow-up after CABG or another coronary event, per capita hospitalization charges were $739 lower for rehabilitated patients compared with nonpartici- pants.688 Post-CABG patients are more likely to resume sexual activity than are survivors of MI. Anticipatory and proactive advice by the physician or surgeon on the safety of resumption of sexual activity as the patient reengages in other daily activities is beneficial.682 Recommendations for intensive risk-reduction therapies for patients with established coronary and other atheroscle- rotic vascular disease are detailed in the AHA/ACC Second- ary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Vascular Disease: 2011 Update. 689 This updated guideline includes recommendations on smoking, blood pressure control, lipid management, physical therapy, weight management, type 2 diabetes management, antiplate- let agents and anticoagulants, renin angiotensin aldosterone system blockers (ACE inhibitors and ARBs), beta blockers, influenza vaccination, depression, and cardiac rehabilitation. 4.10. Perioperative Monitoring Monitoring: Recommendations Class I 1. Continuous monitoring of the electrocardiogram for arrhythmias should be performed for at least 48 hours in all patients after CABG.606,690,691 (Level of Evidence: B) Class IIa 1. Continuous ST-segment monitoring for detection of ischemia is reasonable in the intraoperative period for patients undergoing CABG.53,692 694 (Level of Evidence: B) Class IIb 1. Continuous ST-segment monitoring for detection of is- chemia may be considered in the early postoperative period after CABG.613,690,695 698 (Level of Evidence: B) 4.10.2. Pulmonary Artery Catheterization: Recommendations Class I 1. 