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. 2014 Mar-Apr;56(5):530-5.
doi: 10.1016/j.pcad.2013.09.010. Epub 2013 Oct 11.

Cardiac rehabilitation series: Canada

Sherry L Grace  1 , Stephanie Bennett  2 , Chris I Ardern  2 , Alexander M Clark  3
Affiliations

Cardiac rehabilitation series: Canada

Sherry L Grace et al. Prog Cardiovasc Dis. 2014 Mar-Apr.

Abstract

Cardiovascular disease is among the leading causes of mortality and morbidity in Canada. Cardiac rehabilitation (CR) has a long robust history here, and there are established clinical practice guidelines. While the effectiveness of CR in the Canadian context is clear, only 34% of eligible patients participate, and strategies to increase access for under-represented groups (e.g., women, ethnic minority groups) are not yet universally applied. Identified CR barriers include lack of referral and physician recommendation, travel and distance, and low perceived need. Indeed there is now a national policy position recommending systematic inpatient referral to CR in Canada. Recent development of 30 CR quality indicators and the burgeoning national CR registry will enable further measurement and improvement of the quality of CR care in Canada. Finally, the Canadian Association of CR is one of the founding members of the International Council of Cardiovascular Prevention and Rehabilitation, to promote CR globally.

Keywords: Canada; Cardiovascular disease; Incidence; Referral; Rehabilitation.

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Figures

Figure 1
Figure 1. Epidemiology of self-reported coronary heart disease
Self-reported coronary heart disease (age 12+) from the Canadian Community Health Survey (2011–12). Data are derived from the Public Health Agency Chronic Disease Infobase, accessible at: http://www.phac-aspc.gc.ca/cd-mc/facts_figures-faits_chiffres-eng.php.
Figure 2
Figure 2. Difference in prevalence and age –adjusted rates of coronary-related hospitalizations and procedures
AMI=Acute Myocardial Infarction; PCI=Percutaneous Coronary Intervention; CABG=Coronary Artery Bypass Graft Surgery. Data are age-standardized rates of revascularization procedures performed on patients in acute care hospitals, same-day surgery facilities or catheterization laboratories, per 100,000 population age 20 and older. Estimates are presented as prevalence (%) and 95% confidence intervals. Incident rates represent procedures completed in 2011–12 in all provinces of Canada excluding Quebec. Data are derived from the Discharge Abstract Database, Canadian Institute for Health Information [Health Indicators, 2013 report, available at www.cihi.ca].
Figure 3
Figure 3. Key Websites
See this image and copyright information in PMC

References

    1. Canada S. Canadian Vital Statistics, Death Database (CANSIM table 102-0561) [Internet]. Available from: http://www.statcan.gc.ca/pub/84-215-x/2012001/tbl/T001-eng.pdf.
    1. Chronic Disease Atlas. Chronic Disease Infobase, Surveillance Division, CCDPC, PHAC; [Internet]. Available from: http://www.cvdinfobase.ca/Surveillance/index.aspx.
    1. Campbell NR, Onysko J, Johansen H, Gao R-N. Canadian Journal of Cardiology. 5. Vol. 22. Elsevier; 2006. Apr, Changes in cardiovascular deaths and hospitalization in Canada; pp. 425–7. - PMC - PubMed
    1. Public Health Agency of Canada. Tracking Heart Disease and Stroke in Canada, 2009 [Internet] 2009 Available from: http://www.phac-aspc.gc.ca/publicat/2009/cvd-avc/pdf/cvd-avs-2009-eng.pdf.
    1. Chiu M, Austin PC, Manuel DG, Tu JV. Comparison of cardiovascular risk profiles among ethnic groups using population health surveys between 1996 and 2007. CMAJ. 2010;18(182):301–10. - PMC - PubMed