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Updated: Nov 1, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Underutilization of Cardiac Rehabilitation in Women: BARRIERS AND SOLUTIONS
Sherrie Khadanga1, Diann E Gaalema, Patrick Savage
1Department of Medicine, Division of Cardiology, University of Vermont, Burlington (Drs Khadanga and Ades and Mr Savage); Departments of Psychiatry and Psychology, University of Vermont, Burlington (Dr Gaalema); and Vermont Center on Behavior and Health, University of Vermont, Burlington (Drs Gaalema and Ades).
Purpose:
Despite the known benefits of cardiac rehabilitation (CR), it remains underutilized particularly among women. The aim of this review was to provide an overview regarding women in CR, addressing barriers that may affect enrollment and attendance as well as to discuss the training response and methods to optimize exercise-related benefits of CR.
Review Methods:
The review examines original studies and meta-analyses regarding women in CR.
Summary:
Women are less likely to engage in CR compared with men, and this may be attributed to lack of referral or psychosocial barriers on the part of the patient. Furthermore, despite having lower levels of fitness, women do not improve their fitness as much as men in CR. This review summarizes the current literature and provides recommendations for providers regarding participation and adherence as well as optimal methods for exercise training for women in CR.
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