International experts publish guidelines for cardiac rehab in developing countries

May 16, 2016

TORONTO, May 16, 2016 - Life-saving cardiac rehab programs are not being offered in countries where heart disease is the biggest killer. A panel of experts has now released a statement recommending how all the key elements of these programs can be delivered in an affordable way, in the places where it is needed most.

"All heart patients should be referred to cardiac rehab," says York U Professor Sherry Grace. "We see in countries like India and China, young cardiac patients die at incredible rates. This is because so few programs are set up in these developing countries."

Cardiac rehabilitation is an outpatient chronic disease management program, proven to reduce death by over 25 per cent and hospitalization by almost 20 per cent.

Grace led the panel convened through the International Council of Cardiovascular Prevention and Rehabilitation that has released a statement including recommendations on how all of the key elements of cardiac rehab programs can be delivered at a low cost.

The cardiac rehab model of care is quite standard in developed countries, and consists of risk factor assessment and management, exercise training, patient education, as well as dietary and psychosocial counselling. While it is cost-effective to deliver these programs in countries such as Canada, the United Kingdom and United States, the situation in developing countries is different.

"We needed to provide direction on how to deliver all these components in an affordable, but effective way," says Dr. Paul Oh, co-author and medical director of Cardiovascular Prevention and Rehabilitation Program at Toronto Rehabilitation Institute-University Health Network (UHN).

Working together, experts from China, India, Iran, Singapore, South Africa, the Middle East and South America have published the Consensus Statement that includes specific recommendations for delivering each component, drawing from effective cardiac rehabilitation programs in developed countries and also from their own expertise.

"Health workers who are not medical doctors can play a key role in providing rehabilitation to cardiac patients," says co-author Dr. Aashish Contractor, who heads Rehabilitation and Sports Medicine department at Sir H.N. Reliance Foundation Hospital in Mumbai, India. "A community health-care worker or nurse can educate and guide patients on making lifestyle changes at a lower-cost than a doctor, and there are just too few doctors in these countries".

In the statement titled "Cardiac rehabilitation delivery model for low-resource settings, published in the journal Heart , they also recommend that programs not be delivered in expensive medical settings like hospitals, but in the community. New technologies should also be exploited, because the penetration of mobile phones in these countries is very high.

Grace, who is also a Senior Scientist at Toronto Rehabilitation Institute-UHN, adds that plans are underway to test the model and its cost in various countries. "Then we can advocate for more cardiac rehab delivery, and refine how we deliver it. We see new cardiac care units going up in these countries; the wealthy receive high-tech interventions like stents and surgery, but the average heart patient is not able to get the low-tech basics that work well in cardiac rehab."
-end-
The statement by the expert panel has been endorsed by many leading organizations, including the British, Australian and Canadian Associations of Cardiovascular Prevention and Rehabilitation, the World Hypertension League, the African Heart Network, and the Singapore Heart Foundation.

York University is known for championing new ways of thinking that drive teaching and research excellence. Our 52,000 students receive the education they need to create big ideas that make an impact on the world. Meaningful and sometimes unexpected careers result from cross-discipline programming, innovative course design and diverse experiential learning opportunities. York students and graduates push limits, achieve goals and find solutions to the world's most pressing social challenges, empowered by a strong community that opens minds. York U is an internationally recognized research university -- our 11 faculties and 24 research centres have partnerships with 200+ leading universities worldwide.

Toronto Rehabilitation Institute

As the world-leading rehabilitation research centre, Toronto Rehabilitation Institute is revolutionizing rehabilitation by helping people overcome the challenges of disabling injury, illness or age related health conditions to live active, healthier, more independent lives. It integrates innovative patient care, ground breaking research and diverse education to build healthier communities and advance the role of rehabilitation in the health system. Toronto Rehab, along with Toronto General and Toronto Western Hospitals, the Princess Margaret Cancer Centre and The Michener Institute for Education at UHN is a member of the University Health Network and is affiliated with the University of Toronto.

Media Contact:

Gloria Suhasini
York University Media Relations
416-736-2100 ext. 22094
suhasini@yorku.ca

York University

Related Rehabilitation Articles from Brightsurf:

Simple measurement could transform injury rehabilitation
Researchers from Edith Cowan University in Western Australia have found a simple way to analyse the effectiveness of exercise training that could one day be conducted easily at a local gym or physio.

Vocational rehabilitation helps lift people with disabilities out of poverty
Social Security Disability Insurance (SSDI) benefits do not always keep individuals with disabilities out of poverty.

Study examines the benefits of virtual stroke rehabilitation programs
While virtual medical and rehabilitation appointments seemed novel when COVID-19 first appeared, they now seem to be part of the new norm and might be paving the way to the future.

How rehabilitation impacts research and care of patients with cerebral palsy
Cerebral palsy (CP) is one of the most common developmental movement disorders in children.

Smartphone accelerometers could help in resistance workouts and rehabilitation protocols
Smartphone accelerometers are effective tools to measure key time-under-tension indicators of muscle training -- and could help in resistance-based workouts and rehabilitation protocols.

Many children in intensive care may not be getting rehabilitation therapy, study shows
Adult patients in hospital intensive care units (ICUs) are often given rehabilitation therapy and urged to keep mobile from an early point in their hospital stays.

Movement study could be significant in helping understand brain rehabilitation
Researchers from the University of Plymouth (UK) and Technical University of Munich (Germany) say their study could be particularly important for those working in rehabilitation and helping people to recover after neurological conditions.

Only 1 in 4 Medicare patients participate in cardiac rehabilitation
Only about 24% of Medicare patients who could receive outpatient cardiac rehabilitation participate in the program.

A conversation could be the answer to successful rehabilitation of prisoners
Researchers have found people on the brink of release from a prison sentence have lost any sense of being connected to the outside world and, as a result, become prejudiced towards wider society.

An artificial skin that can help rehabilitation and enhance virtual reality
EPFL scientists have developed a soft artificial skin that provides haptic feedback and -- thanks to a sophisticated self-sensing mechanism -- has the potential to instantaneously adapt to a wearer's movements.

Read More: Rehabilitation News and Rehabilitation Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.