Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement.

Grace, SL; Turk-Adawi, KI; Contractor, A; Atrey, A; Campbell, NRC; Derman, W; Ghisi, GLM; Sarkar, BK; Yeo, TJ; Lopez-Jimenez, F; Buckley, J; Hu, D; Sarrafzadegan, N

Abstract

Cardiovascular disease (CVD) is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be efficacious and cost-effective for secondary prevention in high-income countries. Given its affordability, CR should be more broadly implemented in middle-income countries as well. Hence, the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) convened a writing panel to recommend strategies to deliver all core CR components in low-resource settings, namely: (1) initial assessment, (2) lifestyle risk factor management (i.e., diet, tobacco, mental health), (3) medical risk factor management (lipids, blood pressure), (4) education for self-management; (5) return to work; and (6) outcome evaluation. Approaches to delivering these components in alternative, arguably lower-cost settings, such as the home, community and primary care, are provided. Recommendations on delivering each of these components where the most-responsible CR provider is a non-physician, such as an allied healthcare professional or community health care worker, are also provided.

Citation

Grace, S., Turk-Adawi, K., Contractor, A., Atrey, A., Campbell, N., Derman, W., …Sarrafzadegan, N. (2016). Cardiac Rehabilitation Delivery Model for Low-Resource Settings: An International Council of Cardiovascular Prevention and Rehabilitation Consensus Statement. Progress in Cardiovascular Diseases, 303 - 322. https://doi.org/10.1016/j.pcad.2016.08.004

• Acceptance Date: Aug 15, 2016
• Publication Date: Nov 1, 2016
• Journal: Progress in Cardiovascular Diseases
• Print ISSN: 0033-0620
• Publisher: Elsevier
• Pages: 303 - 322
• DOI: https://doi.org/10.1016/j.pcad.2016.08.004
• Publisher URL: https://www.sciencedirect.com/science/article/abs/pii/S0033062016300810?via%3Dihub