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A review of guidelines for cardiac rehabilitation exercise programmes: Is there an international consensus?

Price, Kym Joanne, Gordon, Brett Ashley, Bird, Stephen Richard, Benson, Amanda Clare·2016·European Journal of Preventive Cardiology

Abstract

BACKGROUND: Cardiac rehabilitation is an important component in the continuum of care for individuals with cardiovascular disease, providing a multidisciplinary education and exercise programme to improve morbidity and mortality risk. Internationally, cardiac rehabilitation programmes are implemented through various models. This review compared cardiac rehabilitation guidelines in order to identify any differences and/or consensus in exercise testing, prescription and monitoring. METHODS: Guidelines, position statements and policy documents for cardiac rehabilitation, available internationally in the English language, were identified through a search of electronic databases and government and cardiology society websites. Information about programme delivery, exercise testing, prescription and monitoring were extracted and compared. RESULTS: Leading cardiac rehabilitation societies in North America and Europe recommend that patients progress from moderate- to vigorous-intensity aerobic endurance exercise over the course of the programme, with resistance training included as an important adjunct, for maintaining independence and quality of life. North American and European guidelines also recommend electrocardiograph-monitored exercise stress tests. Guidelines for South America and individual European nations typically include similar recommendations; however, those in the United Kingdom, Australia and New Zealand specify lower-intensity exercise and less technical assessment of functional capacity. CONCLUSION: Higher-intensity aerobic training programmes, supplemented by resistance training, have been recommended and deemed safe for cardiac rehabilitation patients by many authorities. Based on research evidence, this may also provide superior outcomes for patients and should therefore be considered when developing an international consensus for exercise prescription in cardiac rehabilitation.

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Metadata

Authors
Price, K. J., Gordon, B. A., Bird, S. R., & Benson, A. C.
Venue
European Journal of Preventive Cardiology
Published
2016-07-10
Volume
23
Issue
16
Pages
1715-1733
ISSN
  • 2047-4873 (ISSN-L)
  • 2047-4881
OpenAlex
W2469593973
Cited by
401
References
62
FWCI
26.89
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A review of guidelines for cardiac rehabilitation exercise programmes: Is there an international consensus? https://app.cochat.ai/papers/10.1177/2047487316657669
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Price, K. J., Gordon, B. A., Bird, S. R., & Benson, A. C. (2016). A review of guidelines for cardiac rehabilitation exercise programmes: Is there an international consensus? European Journal of Preventive Cardiology. https://doi.org/10.1177/2047487316657669

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