Cited by 607Cardiac Health and Mental HealthMedical Practices and RehabilitationHealth Promotion and Cardiovascular Prevention

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Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers and Beyond: A Presidential Advisory From the American Heart Association

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Balady, Gary J., Ades, Philip A., Bittner, Vera A., Franklin, Barry A., Gordon, Neil F., Thomas, Randal J., Tomaselli, Gordon F., Yancy, Clyde W.·2011·Circulation

DOI 10.1161/cir.0b013e31823b21e2

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Abstract

E ach year, an estimated 785 000 Americans will suffer a new myocardial infarction (MI; heart attack), and nearly 470 000 will have a recurrent attack. 1 Within 5 years of an initial MI, 15% of men and 22% of women 45 to 64 years of age and 22% of men and women Ͼ65 years of age will suffer a recurrent MI or fatal coronary heart disease (CHD). 1 Given this high recurrence rate, preventing secondary cardiac events is an essential part of the care for patients with cardiovascular disease (CVD).Cardiac rehabilitation/secondary prevention programs (CR/SPPs) are medically supervised programs that help patients with CVD to recover more quickly after a cardiac event and to stay healthy.CR/SPPs are more than just diet and exercise programs; these programs offer a multifaceted and multidisciplinary approach to optimize the overall physical, mental, and social functioning of people with CVD.CR/SPPs include specific core components that aim to optimize cardiovascular risk reduction, foster healthy behaviors and compliance with these behaviors, reduce disability, and promote an active lifestyle for patients with CVD. 2 Comprehensive CR/SPPs consist of baseline patient assessment, nutritional counseling, aggressive risk factor management (ie, lipids, hypertension, weight, diabetes mellitus, and smoking), psychosocial and vocational counseling, and physical activity counseling and exercise training.Patients participating in CR/SPPs are also prescribed cardioprotective drugs that have evidence-based efficacy

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Additional file 2 of The effect of personalized mobile health (mHealth) in cardiac rehabilitation for discharged elderly patients after acute myocardial infarction on their inner strength and resilience
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Additional file 2 of Feasibility of early digital health rehabilitation after cardiac surgery in the elderly: a qualitative study
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Additional file 3 of Feasibility of early digital health rehabilitation after cardiac surgery in the elderly: a qualitative study
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Additional file 1 of The effect of personalized mobile health (mHealth) in cardiac rehabilitation for discharged elderly patients after acute myocardial infarction on their inner strength and resilience
Salarvand, S., Farzanpour, F., & Gharaei, H. A. (2024) · Figshare · doi:10.6084/m9.figshare.26682778
Additional file 3 of The effect of personalized mobile health (mHealth) in cardiac rehabilitation for discharged elderly patients after acute myocardial infarction on their inner strength and resilience
Salarvand, S., Farzanpour, F., & Gharaei, H. A. (2024) · Figshare · doi:10.6084/m9.figshare.26682784
Additional file 1 of Optimising the implementation of digital-supported interventions for the secondary prevention of heart disease: a systematic review using the RE-AIM planning and evaluation framework
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Secondary Prevention in Older Adults
Park, J. K., Ugoala, O. S., Ebubechukwu, U. J., & Agarwala, A. (2026) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2025.12.008 · Cited by 1

Authors: Balady, G. J., Ades, P. A., Bittner, V. A., Franklin, B. A., Gordon, N. F., Thomas, R. J., Tomaselli, G. F., & Yancy, C. W.
ORCID: Balady, Gary J.
Ades, Philip A.
Bittner, Vera A.
Franklin, Barry A.
Gordon, Neil F.
Thomas, Randal J.
Yancy, Clyde W.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2011-12
Volume: 124
Issue: 25
Pages: 2951-2960
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/cir.0b013e31823b21e2
OpenAlex: W1988513614
Cited by: 607
References: 51
Citations by year: 2026: 9 · 2025: 35 · 2024: 39 · 2023: 41 · 2022: 51 · 2021: 58 · 2020: 42 · 2019: 54 · 2018: 40 · 2017: 58 · 2016: 43 · 2015: 40 · 2014: 33 · 2013: 40 · 2012: 20
FWCI: 20.60
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: cardiac rehabilitation, secondary prevention, myocardial infarction, referral, program enrollment, program delivery, cardiovascular disease, risk factor control, exercise training, psychosocial counseling, nutrition counseling, reinfarction
MeSH terms: American Heart Association, Health Promotion, Heart Diseases, Humans, Referral and Consultation, Rehabilitation Centers, United States, Patient Selection

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Referral, Enrollment, and Delivery of Cardiac Rehabilitation/Secondary Prevention Programs at Clinical Centers and Beyond: A Presidential Advisory From the American Heart Association

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