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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Related Experiment Video

Updated: Sep 19, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Affordable Cardiac Rehabilitation An Outreach Inter-Disciplinary Strategic Study (ACROSS) - Research Programme

Rod S Taylor1, Imran Bashir Chaudhry2,3,4, Mithila Faraque5

  • 1School of Health and Wellbeing, University of Glasgow College of Medical Veterinary and Life Sciences, Glasgow, Scotland, G12 8TA, UK.

NIHR Open Research
|June 18, 2025
PubMed
Summary
This summary is machine-generated.

Cardiac rehabilitation (CR) is lacking in low-income countries. The ACROSS study co-develops an affordable, home-based CR program for heart disease and depression, evaluating its effectiveness and scalability in South Asia.

Keywords:
cardiac rehabilitationcoronary artery diseaseheart failurelow and middle income country.mental healthrandomised controlled trial

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Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Cardiac rehabilitation (CR) services and infrastructure are limited in low and middle-income countries (LMICs), hindering access to vital care.
  • Home-based CR programs offer a scalable and affordable solution to increase CR accessibility in LMICs.
  • The ACROSS study addresses the gap by focusing on multimorbidity of heart disease and co-existing depression/anxiety in LMICs.

Purpose of the Study:

  • To co-develop a culturally and contextually appropriate, affordable home-based CR program for individuals with heart disease and co-existing depression/anxiety.
  • To evaluate the acceptability, clinical effectiveness, and cost-effectiveness of this home-based CR program.
  • To determine the scalability and sustainability of the developed CR model in Bangladesh, India, and Pakistan.

Main Methods:

  • The study employs a phased approach through four work packages (WPs).
  • WP1 focuses on co-developing a culturally adapted home-based rehabilitation program addressing barriers and enablers.
  • WP2 conducts an external pilot to assess feasibility and acceptability, followed by a hybrid effectiveness-implementation randomized trial (WP3) and capacity building (WP4).

Main Results:

  • The ACROSS program aims to develop a clinically and cost-effective CR model for low-resource settings.
  • The study will provide data on the effectiveness and implementation of home-based CR for complex patient groups.
  • Anticipated benefits include substantial improvements in health and socio-economic outcomes for patients in the target regions.

Conclusions:

  • The ACROSS program seeks to establish a sustainable and effective home-based CR model for LMICs.
  • This initiative has the potential to significantly improve cardiovascular care and mental health support in resource-limited settings.
  • Successful implementation could lead to considerable health and socio-economic benefits for patients and communities in Bangladesh, India, and Pakistan.