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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Narrative Review of Strengthening Cardiac Rehabilitation in India: Challenges and Opportunities

Mariya P Jiandani1, Summaiya Z Shaikh2, Charan P Lanjewar3

  • 1PhD Scholar, DY Patil School of Physiotherapy, Navi Mumbai; Additional Professor, Department of Physiotherapy, Physiotherapy School and Centre, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India, Orcid: https://orcid.org/0000-0002-9884-8055, Corresponding Author.

The Journal of the Association of Physicians of India
|December 14, 2025
PubMed

Insights

Cardiac rehabilitation (CR) is underutilized in India due to systemic barriers, despite its importance in cardiovascular disease (CVD) management. Scalable solutions and collaborative efforts are needed to improve access and outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Cardiovascular disease (CVD) is a growing public health concern in India.
  • Cardiac rehabilitation (CR) is crucial for secondary prevention in CVD patients.
  • CR utilization in India is significantly limited by systemic barriers.

Purpose of the Study:

  • To review the current state of CR in India.
  • To identify implementation gaps compared to global standards.
  • To explore scalable solutions for enhancing CR accessibility.

Main Methods:

  • Literature review of the CR landscape in India.
  • Comparative analysis with international CR benchmarks.
  • Exploration of innovative CR delivery models.

Main Results:

  • India faces significant challenges in CR infrastructure, funding, awareness, and equitable access.
  • Key implementation gaps hinder widespread CR adoption.
  • Telerehabilitation and community-based programs show promise.

Conclusions:

  • Universal access to CR in India requires addressing policy, funding, infrastructure, and workforce development.
  • A multisectoral, collaborative approach is essential for scaling CR services.
  • Improving CR is a national public health priority for CVD management.

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