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Guidelines for cardiac rehab in developing countries published by international experts

Press releases may be edited for formatting or style
May 16, 2016, York University -- 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."

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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".
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