Cardiac rehabilitation: into the future
- 1Department of Health Sciences and Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
- 2Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
- Correspondence to Professor David R Thompson, Department of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UK;
- Accepted 4 August 2009
- Published Online First 8 October 2009
Cardiac rehabilitation is increasingly recognised as an integral component of comprehensive cardiac care. The evidence supporting its effectiveness in reducing morbidity and mortality and improving quality of life is compelling. Yet, despite this recognition and exhortations that its implementation should be a key priority, most cardiac patients do not receive rehabilitation. Service provision varies markedly and many programmes are focused on select populations, often operate in an inflexible manner and fail to add potential value. Issues of suboptimal referral, enrolment and completion are poorly addressed and the potential for embracing novel methods and the latest technology are rarely exploited. This paper reviews the current status of cardiac rehabilitation and proposes ways to improve access and uptake and reduce inequity to ensure that those who are likely to benefit from this complex intervention do so.
Competing interests None.
Provenance and peer review Commissioned; externally peer reviewed.