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Updated: May 15, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Cardiac Rehabilitation for Women with Heart Disease
Jonathan H Whiteson1, Sofiya Prilik2, Matthew C Glenn3
1Department of Medicine and Rehabilitation Medicine, NYU Grossman School of Medicine; Cardiac and Pulmonary Rehabilitation, Rusk Rehabilitation, NYU Langone Health, New York, NY 10016, USA.
Insights
Cardiac rehabilitation (CR) improves outcomes for women with cardiovascular disease, yet participation remains low. Modifying CR programs can help close this gender gap and improve women's cardiovascular health.
Area of Science:
- Cardiology
- Preventive Medicine
- Women's Health
Background:
- Cardiovascular disease (CVD) is a primary cause of death and illness in women worldwide.
- Cardiac rehabilitation (CR) programs offer significant benefits for CVD patients.
- Women are referred and participate in CR at lower rates than men, despite similar benefits.
Purpose of the Study:
- To highlight the disparities in cardiac rehabilitation referral and participation for women.
- To identify barriers contributing to lower CR rates in women.
- To suggest modifications for CR programs to improve women's engagement.
Main Methods:
- Review of existing literature on CR participation in women.
- Analysis of identified barriers to CR for female patients.
- Discussion of potential program modifications to enhance CR accessibility and adherence for women.
Main Results:
- Less than 30% of eligible patients are referred to and participate in CR.
- Significant gender disparities exist in CR referral and completion rates, favoring men.
- Specific barriers preventing women's participation have been identified.
Conclusions:
- Cardiac rehabilitation is underutilized by women despite proven benefits.
- Addressing identified barriers is crucial to improving women's access to CR.
- Tailored CR programs can enhance participation and improve cardiovascular outcomes for women.
Abstract:
Cardiovascular disease is the leading cause of morbidity and mortality in women globally. Cardiac rehabilitation (CR)-a comprehensive program including supervised progressive exercise, education, support, behavior modification, and nutritional guidance over 36 individual sessions-positively impacts morbidity, mortality, function, and quality of life. Overall, less than 30% of those who qualify are referred and participate in CR-referral and completion rates are significantly less in women compared with men despite evidence supporting equal benefit. Barriers contributing to these disparities have been identified, and CR programs can be modified to enhance the participation of women.
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