Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, European Association of Preventive Cardiology, and International Council of Cardiovascular Prevention and Rehabilitation

Taylor, Rod S.; Fredericks, Suzanne; Jones, Ian; Neubeck, Lis; Sanders, Julie; De Stoutz, Noemi; Thompson, David R; Wadhwa, Deepti N; Grace, Sherry L

Abstract

Cardiovascular disease is a leading cause of death, morbidity, disability, and reduced health-related quality of life, as well as economic burden worldwide, with some 80% of disease burden occurring in the low- and middle-income country (LMIC) settings. With increasing numbers of people living longer with symptomatic disease, the effectiveness and accessibility of secondary preventative and rehabilitative health services have never been more important. Whilst LMICs experience the highest prevalence and mortality rates, the global approach to secondary prevention and cardiac rehabilitation, which mitigates this burden, has traditionally been driven from clinical guidelines emanating from high-income settings. This state-of-the art review provides a contemporary global perspective on cardiac rehabilitation and secondary prevention, contrasting the challenges of and opportunities for high vs. lower income settings. Actionable solutions to overcome system, clinician, programme, and patient level barriers to cardiac rehabilitation access in LMICs are provided.

Citation

Taylor, R. S., Fredericks, S., Jones, I., Neubeck, L., Sanders, J., De Stoutz, N., …Grace, S. L. (2023). Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, European Association of Preventive Cardiology, and International Council of Cardiovascular Prevention and Rehabilitation. European Heart Journal, 44(28), 2515-2525. https://doi.org/10.1093/eurheartj/ehad225

• Journal Article Type: Article
• Acceptance Date: Mar 30, 2023
• Online Publication Date: Jun 14, 2023
• Publication Date: Jul 21, 2023
• Deposit Date: Aug 1, 2023
• Publicly Available Date: Aug 1, 2023
• Journal: European Heart Journal
• Print ISSN: 0195-668X
• Electronic ISSN: 1522-9645
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 44
• Issue: 28
• Pages: 2515-2525
• DOI: https://doi.org/10.1093/eurheartj/ehad225
• Keywords: Secondary prevention, Cardiac rehabilitation, Access, Health services, Cardiovascular diseases