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The Prevention and Cardiac Rehabilitation Group of the Saudi Heart Association Recommendations Regarding Establishing

Abdulhalim J Kinsara1, Raghdah Aljehani2, Jadwiga Wolszakiewicz3

  • 1Ministry of National Guard-Health Affairs, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, COM-WR, Jeddah, Saudi Arabia.

Journal of the Saudi Heart Association
|September 13, 2023
PubMed

Insights

Cardiac rehabilitation (CR) is vital for secondary cardiovascular disease prevention. This expert opinion outlines CR goals, patient eligibility, organization, and implementation strategies for Saudi Arabia to improve suboptimal utilization.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Background:

  • Cardiac rehabilitation (CR) is a critical component of secondary prevention for cardiovascular disease (CVD).
  • Comprehensive CR is strongly recommended for patients post-myocardial infarction, revascularization, with chronic coronary syndromes, and heart failure (HF).
  • Current CR utilization remains suboptimal, with many centers lacking essential services.

Purpose of the Study:

  • To provide an expert opinion on the current state of CR in the Kingdom of Saudi Arabia.
  • To summarize medical knowledge regarding CR goals, target population, organization, and clinical indications.
  • To guide the effective implementation of CR programs tailored to individual patient needs.

Main Methods:

  • Expert opinion synthesis of current medical knowledge.
  • Review of existing literature and guidelines on cardiac rehabilitation.
  • Focus on goals, target population, organization, clinical indications, and implementation.

Main Results:

  • CR is a cornerstone of secondary CVD prevention with high-level evidence for various cardiac conditions.
  • Optimal CR is multi-phasic, individualized, and should be initiated promptly.
  • Suboptimal CR use necessitates standardization and improved guideline implementation.

Conclusions:

  • Standardized CR programs, based on key performance indicators and minimum utilization guidelines, are essential.
  • Effective CR implementation requires clear goals, defined patient populations, and structured organization.
  • This expert opinion provides a framework for enhancing CR services in Saudi Arabia.

Keywords:
Cardiac rehabilitationCardiovascular diseaseExercise trainingGuidelinesSaudi ArabiaSecondary prevention of cardiovascular disease

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