TY - JOUR T1 - Cardiac rehabilitation delivery model for low-resource settings JF - Heart JO - Heart SP - 1449 LP - 1455 DO - 10.1136/heartjnl-2015-309209 VL - 102 IS - 18 AU - Sherry L Grace AU - Karam I Turk-Adawi AU - Aashish Contractor AU - Alison Atrey AU - Norm Campbell AU - Wayne Derman AU - Gabriela L Melo Ghisi AU - Neil Oldridge AU - Bidyut K Sarkar AU - Tee Joo Yeo AU - Francisco Lopez-Jimenez AU - Shanthi Mendis AU - Paul Oh AU - Dayi Hu AU - Nizal Sarrafzadegan Y1 - 2016/09/15 UR - http://heart.bmj.com/content/102/18/1449.abstract N2 - Objective Cardiovascular disease is a global epidemic, which is largely preventable. Cardiac rehabilitation (CR) is demonstrated to be cost-effective and efficacious in high-income countries. CR could represent an important approach to mitigate the epidemic of cardiovascular disease in lower-resource settings. The purpose of this consensus statement was to review low-cost approaches to delivering the core components of CR, to propose a testable model of CR which could feasibly be delivered in middle-income countries.Methods A literature review regarding delivery of each core CR component, namely: (1) lifestyle risk factor management (ie, physical activity, diet, tobacco and mental health), (2) medical risk factor management (eg, lipid control, blood pressure control), (3) education for self-management and (4) return to work, in low-resource settings was undertaken. Recommendations were developed based on identified articles, using a modified GRADE approach where evidence in a low-resource setting was available, or consensus where evidence was not.Results Available data on cost of CR delivery in low-resource settings suggests it is not feasible to deliver CR in low-resource settings as is delivered in high-resource ones. Strategies which can be implemented to deliver all of the core CR components in low-resource settings were summarised in practice recommendations, and approaches to patient assessment proffered. It is suggested that CR be adapted by delivery by non-physician healthcare workers, in non-clinical settings.Conclusions Advocacy to achieve political commitment for broad delivery of adapted CR services in low-resource settings is needed. ER -