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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, RS, Fredericks, S, Jones, I, Neubeck, L, Sanders, J, De Stoutz, N, Thompson, DR, Wadhwa, DN and Grace, SL (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). pp. 2515-2525. ISSN 0195-668X

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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.

Item Type: Article
Uncontrolled Keywords: Humans; Cardiovascular Diseases; Heart Diseases; Cardiology; Quality of Life; Secondary Prevention; Cardiovascular Nursing; Cardiac Rehabilitation; Access; Cardiac rehabilitation; Cardiovascular diseases; Health services; Secondary prevention; Humans; Cardiac Rehabilitation; Quality of Life; Cardiovascular Nursing; Cardiology; Cardiovascular Diseases; Heart Diseases; Secondary Prevention; 1102 Cardiorespiratory Medicine and Haematology; 1103 Clinical Sciences; Cardiovascular System & Hematology
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Nursing & Allied Health
Publisher: Oxford University Press (OUP)
SWORD Depositor: A Symplectic
Date Deposited: 05 Jan 2024 12:38
Last Modified: 05 Jan 2024 12:45
DOI or ID number: 10.1093/eurheartj/ehad225
URI: https://researchonline.ljmu.ac.uk/id/eprint/22206
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