Practice Point

Nature Clinical Practice Cardiovascular Medicine (2008) 5, 192-193
doi:10.1038/ncpcardio1128  
Received 5 November 2007 | Accepted 5 December 2007 | Published online: 12 February 2008

Are cardiac rehabilitation programs underutilized by patients with coronary heart disease?

Ray W Squires

Correspondence Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Email
 squires.ray@mayo.edu

This article has no abstract so we have provided the first paragraph of the full text.

CR secondary prevention (CRSP) programs have been shown to reduce cardiac mortality by 31% in patients with CHD.1 According to clinical practice guidelines,2 CRSP programs are essential in the care of patients with CHD. Nevertheless, most of these individuals do not enroll in outpatient CRSP programs. Thomas et al. surveyed 163 CRSP programs in operation in 1990 in various regions of the US, and reported enrollment rates of only 10.8% and 23.4% following MI and CABG surgery, respectively.3 Participation rates were particularly poor for women, nonwhites, the elderly, and those living in the southern US.

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