Rethinking Rehabilitation: A REVIEW OF PATIENT POPULATIONS WHO CAN BENEFIT FROM CARDIAC REHABILITATION

Authors

Brittany Overstreet
Danielle Kirkman
Wanda K. Qualters, Henry Ford HealthFollow
Dennis Kerrigan, Henry Ford HealthFollow
Mark J. Haykowsky
Marysia S. Tweet
Jeffrey W. Christle
Clinton A. Brawner, Henry Ford HealthFollow
Jonathan K. Ehrman, Henry Ford HealthFollow
Steven J. Keteyian, Henry Ford HealthFollow

Recommended Citation

Overstreet B, Kirkman D, Qualters WK, Kerrigan D, Haykowsky MJ, Tweet MS, Christle JW, Brawner CA, Ehrman JK, and Keteyian SJ. Rethinking Rehabilitation: A REVIEW OF PATIENT POPULATIONS WHO CAN BENEFIT FROM CARDIAC REHABILITATION. J Cardiopulm Rehabil Prev 2021; 41(6):389-399.

Document Type

Article

Publication Date

11-1-2021

Publication Title

J Cardiopulm Rehabil Prev

Abstract

Although cardiac rehabilitation (CR) is safe and highly effective for individuals with various cardiovascular health conditions, to date there are only seven diagnoses or procedures identified by the Centers for Medicare & Medicaid Services that qualify for referral. When considering the growing number of individuals with cardiovascular disease (CVD), or other health conditions that increase the risk for CVD, it is important to determine the extent for which CR could benefit these populations. Furthermore, there are some patients who may currently be eligible for CR (spontaneous coronary artery dissection, left ventricular assistant device) but make up a relatively small proportion of the populations that are regularly attending and participating. Thus, these patient populations and special considerations for exercise might be less familiar to professionals who are supervising their programs. The purpose of this review is to summarize the current literature surrounding exercise testing and programming among four specific patient populations that either do not currently qualify for (chronic and end-stage renal disease, breast cancer survivor) or who are eligible but less commonly seen in CR (sudden coronary artery dissection, left ventricular assist device). While current evidence suggests that individuals with these health conditions can safely participate in and may benefit from supervised exercise programming, there is an immediate need for high-quality, multisite clinical trials to develop more specific exercise recommendations and support the inclusion of these populations in future CR programs.

Medical Subject Headings

Aged; Cardiac Rehabilitation; Exercise; Humans; Medicare; Quality of Life; United States; World Health Organization

PubMed ID

34727558

Volume

41

Issue

6

First Page

389

Last Page

399