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 |
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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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