Cardiac Rehabilitation in Coronary Artery Disease: Improving Outcomes and Adherence

Mohammad Ullah, Md Toufiqur Rahman, AKM Monwarul Islam, AAS Majumder

Cardiac rehabilitation (CR) is a program that aims to improve the cardiovascular health of patients with
coronary artery disease (CAD) through a multidisciplinary approach. CR typically includes exercise
training, risk factor modification, psychosocial support, and education. Studies have shown that CR can
improve exercise capacity, reduce angina symptoms, enhance overall quality of life, and reduce the risk of
recurrent cardiovascular events. Despite the benefits of CR, adherence remains a challenge, and many
patients with CAD do not participate in these programs. Strategies to improve adherence to CR include
patient education, personalized goal setting, motivational interviewing, and peer support. Encouraging
and supporting patients with CAD to participate in CR programs is crucial for the secondary prevention
and long-term management of their condition.
While CR programs are effective, access to these programs may be limited for some patients, particularly
those in underserved communities or rural areas. Tele-rehabilitation, which uses technology to provide
remote delivery of CR services, has shown promise in increasing access to CR for patients who may not
have access to traditional in-person programs.
Overall, CR is a vital component of the management of CAD, and its benefits extend beyond cardiovascular
health to include improvements in overall quality of life. It is important to raise awareness about the
importance of CR and to work towards increasing access to these programs for all patients with CAD.