[Current status of cardiac rehabilitation in Chile]

Area of Science:

• Cardiology
• Public Health
• Rehabilitation Medicine

Background:

• Cardiac rehabilitation (CR) programs are crucial for managing and preventing recurrent cardiac events.
• Effective CR improves patient outcomes and quality of life post-cardiac event.

Purpose of the Study:

• To assess the current status and identify challenges of cardiac rehabilitation programs in Chile.
• To provide insights into the structure, patient care, and barriers within Chilean CR services.

Main Methods:

• A nationwide survey was conducted using a questionnaire distributed to CR centers in Chile.
• The survey evaluated center structure, program components, patient demographics, risk factor management, and operational barriers.

Main Results:

• Seven of eight contacted centers responded, primarily treating coronary heart disease patients in phases II and III of recovery.
• While most centers offer initial assessments, physical activity, and nutrition guidance, smoking cessation support is limited (3 centers).
• Key barriers identified include insufficient patient referral from referring physicians and inconsistent risk factor monitoring (e.g., lipid profile, blood sugar in 62% of centers).

Conclusions:

• Despite the established importance of cardiac rehabilitation, Chilean programs require further development and optimization.
• Enhancing patient referral pathways from healthcare providers is essential for improving CR program accessibility and effectiveness.