[Benefits and indications of rehabilitation for coronary heart diseases]

Cardiac rehabilitation (CR) is an essential element in the treatment of coronary artery disease. It can be conducted on an inpatient or ambulatory basis in cardiac rehabilitation units and includes complementary exercise training and a therapeutic patient education (TPE) program. Rehabilitation can reduce the occurrence of serious cardiac events and provide better control of cardiovascular risk factors. All epidemiological surveys show that this approach is beneficial: multidisciplinary care reduces mortality after myocardial infarction and improves cardiac patients' lifestyles. Rehabilitation centers are the only structures able to conduct 3- to 4-week program of cardiac training and TPE. Unfortunately, the number of patients who participate in such programs is still too low, and cardiac rehabilitation centers are underutilized (32 % in the French cohort of the EUROASPIRE III study and about 15 % of all coronary patients). This situation is regrettable, as all registers and epidemiological surveys have confirmed the capacity of CR to improve exercise tolerance, the ischemic threshold, and secondary prevention.