BACPR scientific statement: British standards and core components for cardiovascular disease prevention and rehabilitation

Buckley, John; Furze, Gill; Doherty, Patrick; Speck, Linda; Connolly, Susan; Hinton, Sally; Jones, Joanne

doi:10.1136/heartjnl-2012-303460

Cited by 112 publications

(83 citation statements)

References 11 publications

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“…Specifically, WHO recommends the use of counselling and multi-drug therapy including aspirin as the "best buys" for secondary prevention. Indeed, counselling and medication management are some of the core components of CR [66]. Pending further analysis of the benefits and costs of CR delivery in LMICs, findings from this review suggest that CVD management in LMICs should be broadened to include CR implementation.…”

Section: Discussionmentioning

confidence: 99%

Narrative Review Comparing the Benefits of and Participation in Cardiac Rehabilitation in High-, Middle- and Low-Income Countries

Turk-Adawi

Grace

2015

Heart, Lung and Circulation

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Background-Cardiovascular disease is a leading cause of morbidity worldwide. Cardiac rehabilitation (CR) is a comprehensive secondary prevention approach, with established benefits in reducing morbidity in high-income countries (HICs). The objectives of this review were to summarize what is known about the benefits of CR, including consideration of cost-effectiveness, in addition to rates of CR participation and adherence in high-, as well as low-and middle-income countries (LMICs).

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Section: Discussionmentioning

confidence: 99%

Narrative Review Comparing the Benefits of and Participation in Cardiac Rehabilitation in High-, Middle- and Low-Income Countries

Turk-Adawi

Grace

2015

Heart, Lung and Circulation

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“…For instance, in the recent edition of the British Association for Cardiovascular Prevention and Rehabilitation Standards, they suggest that CR should be part of the "integrated cardiology service". 130 As cardiology services are being developed in LMICs, CR should be a required service provided post-event or procedure. This could reduce the need for repeat revascularization and other downstream medical care utilization.…”

Section: Health Policies To Increase Cr Capacitymentioning

confidence: 99%

Global availability of cardiac rehabilitation

2014

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The most prevalent non-communicable disease globally, namely cardiovascular disease (CVD), is also the leading cause of mortality, with over 80% of the deaths occurring in low-and middleincome countries. To lessen the impact of CVDs on individuals and societies, a comprehensive approach is needed. Cardiac rehabilitation (CR) involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, CR programs are grossly under-used. Worldwide, there is low availability of CR; only 38.8% of countries globally have CR programs. Specifically, 68.0% of high-income and 23% of LMICs (28.2% for middle-and 8.3% for low-income countries) have CR. CR density estimates ranged from 1 program per 0.1-6.4 million inhabitants. CR availability is much lower than that of other evidencebased secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment CR capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.

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“…Patient education is an important component of CR programs 5,6 and is related to successful patient self-management of CAD 27 and behavior change 28 . It has been shown to decrease adverse outcomes and even contribute to regression of the disease 29 .…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac rehabilitation has been formally defined as "the enhancement and maintenance of cardiovascular health through individualized programs designed to optimize physical, psychological, social, vocational and emotional status" 5 . Cardiac rehabilitation is a complex intervention that may involve a variety of therapies, including the facilitation and delivery of secondary prevention through risk factor identification and modification in an effort to prevent disease progression and the recurrence of cardiac events 5,6 . Nonetheless, international clinical guidelines consistently identify exercise therapy as a central element of CR programs [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

“…Cardiac rehabilitation is a complex intervention that may involve a variety of therapies, including the facilitation and delivery of secondary prevention through risk factor identification and modification in an effort to prevent disease progression and the recurrence of cardiac events 5,6 . Nonetheless, international clinical guidelines consistently identify exercise therapy as a central element of CR programs [5][6][7][8][9] . Previous meta-analysis [2][3][4][10][11][12] showed that exercise-based CR programs reduce significantly the number of non-fatal MI, cardiac death, and total mortality.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the portuguese version of the tampa scale for kinesiophobia heart (TSK-SV heart)

Ghisi

Santos

Felipe

et al. 2017

Rev Bras Med Esporte

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Introduction: It has been shown that kinesiophobia has a negative influence on the outcomes of cardiac rehabilitation and consequently is important for the clinical setting. Objective: The objective of this study was to translate, culturally adapt, and psychometrically validate the Tampa Scale for Kinesiophobia Heart (TSK-SV Heart) to Brazilian Portuguese. Methods: The Portuguese version was tested in 300 patients in cardiac rehabilitation. Test-retest reliability was assessed by intraclass correlation coefficient, internal consistency by Cronbach’s alpha, and criterion validity was assessed with respect to patients’ education, income, duration of cardiac rehabilitation, and sex. Results: After intraclass correlation coefficient analysis, one item was excluded. All four areas were considered internally consistent (α >0.7). Significant differences between mean total scores and income (p<0.01) supported the criterion validity. Two hundred sixty-nine (89.6%) patients had a high level of kinesiophobia (scores > 37). Conclusions: The Brazilian Portuguese version of TSK-SV Heart demonstrated sufficient reliability, consistency and validity, supporting its use in future studies.

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BACPR scientific statement: British standards and core components for cardiovascular disease prevention and rehabilitation

Cited by 112 publications

References 11 publications

Narrative Review Comparing the Benefits of and Participation in Cardiac Rehabilitation in High-, Middle- and Low-Income Countries

Narrative Review Comparing the Benefits of and Participation in Cardiac Rehabilitation in High-, Middle- and Low-Income Countries

Global availability of cardiac rehabilitation

Validation of the portuguese version of the tampa scale for kinesiophobia heart (TSK-SV heart)

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