Reconfiguring Cardiac Rehabilitation to Achieve Panvascular Prevention: New Care Models for a New World

Can J Cardiol. 2018 Oct;34(10 Suppl 2):S231-S239. doi: 10.1016/j.cjca.2018.07.013. Epub 2018 Jul 20.

Abstract

Atherosclerotic cardiovascular disease (ASCVD) and its associated economic burden are increasing globally. Although cardiac rehabilitation is a vital component of secondary prevention with proven benefits, it is underutilized due to numerous barriers, especially in resource-limited settings. New care models for delivery of comprehensive prevention programs such as community-based, home-based, and "hybrid" models implementing m-health, e-health, and telemedicine need to be adopted. Such new care models should be offered to all patients with established ASCVD (coronary, cerebral, and peripheral) and additionally to those at high risk of developing ASCVD with multiple risk factors for panvascular prevention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiac Rehabilitation / methods*
  • Cardiovascular Agents / therapeutic use
  • Cardiovascular Diseases* / mortality
  • Cardiovascular Diseases* / prevention & control
  • Cardiovascular Diseases* / psychology
  • Delivery of Health Care, Integrated / organization & administration*
  • Global Health
  • Humans
  • Models, Organizational
  • Quality of Life*
  • Risk Factors
  • Risk Reduction Behavior
  • Secondary Prevention / methods*
  • Survival Analysis

Substances

  • Cardiovascular Agents