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

Sherry L. Grace, Karam I. Turk-Adawi, Aashish Contractor, Alison Atrey, Norman R.C. Campbell, Wayne Derman, Gabriela L.M. Ghisi, Bidyut K. Sarkar, Tee J. Yeo, Francisco Lopez-Jimenez, John Buckley, Dayi Hu, Nizal Sarrafzadegan

Research output: Contribution to journalReview articlepeer-review

51 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)303-322
Number of pages20
JournalProgress in Cardiovascular Diseases
Volume59
Issue number3
DOIs
StatePublished - Nov 1 2016

Keywords

  • Cardiac rehabilitation
  • Community health
  • Delivery models
  • Middle-income countries
  • Primary care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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