Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Nov;45(11):1128-1134.
doi: 10.1002/clc.23911. Epub 2022 Sep 2.

Cardiac rehabilitation: Effective yet underutilized in patients with cardiovascular disease

Affiliations
Review

Cardiac rehabilitation: Effective yet underutilized in patients with cardiovascular disease

Natalie J Bracewell et al. Clin Cardiol. 2022 Nov.

Abstract

Cardiac rehabilitation is a comprehensive program that treats patients with multiple cardiac conditions including post-myocardial infarction, stable angina, post-coronary artery bypass surgery, chronic heart failure, and peripheral vascular disease with structured exercise, and nutrition and risk factor counseling. It is an effective tool that has been shown to improve not only quality of life but also reduce adverse cardiac events, including death. While the value of cardiac rehabilitation is supported by a large body of evidence and its recommendation by the American Heart Association/American College of Cardiology it is significantly underutilized due to both patient and systemic factors. Continued efforts should be made to remove the obstacles to make cardiac rehabilitation available to all those who qualify.

Keywords: cardiac rehabilitation; chronic heart failure; ischemic heart disease; peripheral arterial disease; structured exercise.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Cardiac rehabilitation timeline

References

    1. Balady GJ, Williams MA, Ades PA, et al. American heart association exercise, cardiac rehabilitation, and prevention committee, the council on clinical cardiology; American heart association council on cardiovascular nursing; American heart association council on epidemiology and prevention; American heart association council on nutrition, physical activity, and metabolism; American association of cardiovascular and pulmonary rehabilitation. core components of cardiac rehabilitation/secondary prevention programs: 2007 update: a scientific statement from the American heart association exercise, cardiac rehabilitation, and prevention committee, the council on clinical cardiology; the councils on cardiovascular nursing, epidemiology and prevention, and nutrition, physical activity, and metabolism; and the American association of cardiovascular and pulmonary rehabilitation. Circulation. 2007;115(20):2675‐2682. 10.1161/CIRCULATIONAHA.106.180945 - DOI - PubMed
    1. Suaya JA, Stason WB, Ades PA, Normand SL, Shepard DS. Cardiac rehabilitation and survival in older coronary patients. J Am Coll Cardiol. 2009;54(1):25‐33. 10.1016/j.jacc.2009.01.078 - DOI - PubMed
    1. Kamiya K, Sato Y, Takahashi T, et al. Multidisciplinary cardiac rehabilitation and long‐term prognosis in patients with heart failure. Circ Heart Fail. 2020;13(10):e006798. 10.1161/CIRCHEARTFAILURE.119.006798 - DOI - PubMed
    1. Lavie CJ, Milani RV. Effects of cardiac rehabilitation programs on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in a large elderly cohort. Am J Cardiol. 1995;76(3):177‐179. 10.1016/s0002-9149(99)80054-x - DOI - PubMed
    1. Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non‐ST‐elevation acute coronary syndromes: a report of the American college of cardiology/American heart association task force on practice guidelines. J Am Coll Cardiol. 2014;64(24):e139‐e228. 10.1016/j.jacc.2014.09.017 - DOI - PubMed