Navigation Links
Many Heart Attack Patients Not Referred to Cardiac Rehab
Date:7/27/2009

Despite benefits, only slightly more than half get it, study shows

MONDAY, July 27 (HealthDay News) -- Even though cardiac rehabilitation has been shown to guard against future heart trouble once a cardiovascular event has landed someone in the hospital, only 56 percent of these patients are referred for the therapy, a new study finds.

Despite national guidelines that say hospitalized patients with a qualifying cardiovascular disease event should be referred to outpatient cardiac rehabilitation before hospital discharge, the study demonstrates this doesn't happen often enough, the researchers noted.

"Cardiac rehabilitation improves clinical outcomes, but is widely underutilized," said researcher Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles.

"A large number of patients hospitalized with coronary artery disease may be having recurrent cardiovascular events and deaths that could be prevented by greater participation in cardiac rehabilitation programs," he added.

The report is published in the July 28 online edition of the Journal of the American College of Cardiology.

For the study, Fonarow's team used data from the American Heart Association's Get With The Guidelines program to collect information on 72,817 patients discharged from hospitals after a heart attack, angioplasty or bypass surgery between January 2000 and September 2007.

The researchers found that only 40,974 (56 percent) of the patients were referred to cardiac rehabilitation when leaving the hospital.

Among those who had a heart attack, 53 percent were referred to rehab, as were 58 percent of patients who underwent angioplasty and 74 percent of those who had bypass surgery, the study found.

Among the 156 hospitals in the study, there was no consistency in referring patients to cardiac rehab. "These cardiac rehabilitation referral rates varied widely by hospital, ranging from as low as 0 percent of eligible patients referred, to as high as 100 percent of patients referred," Fonarow said.

In addition, older patients, those with a so-called non-ST-segment elevation heart attack and those with other medical conditions, such as lung disease, were less likely to be referred for cardiac rehabilitation, Fonarow's group noted.

"This is a missed opportunity to impact the care of these patients," study author Dr. Todd M. Brown, an assistant professor of medicine at the University of Alabama at Birmingham, said. "Physicians need to be educated about the importance of cardiac rehabilitation and emphasize to their patients the need to attend."

Fonarow thinks that new efforts are needed to get doctors to refer patients to cardiac rehab.

"Increased physician awareness regarding the clinical benefits of cardiac rehabilitation and new initiatives to overcome barriers to referral are critical to improve the quality of care and outcomes for patients with coronary artery disease," Fonarow said.

Dr. Byron Lee, an associate professor of cardiology at the University of California, San Francisco, says that cardiac rehabilitation can be just as effective in preventing another heart attack as the drugs these patients take.

"It is shameful how physicians underutilize cardiac rehabilitation in the United States," Lee said. "We emphasize expensive drugs and interventions, when a simple rehabilitation program can do just as much, if not more, to reduce the risk of death and recurrent heart attack," he said.

More information

For more information on cardiac rehabilitation, visit the American Heart Association.



SOURCES: Gregg C. Fonarow, M.D., professor, cardiology, University of California, Los Angeles; Todd M. Brown, M.D., assistant professor, medicine, University of Alabama at Birmingham; Byron Lee, M.D., associate professor, cardiology, University of California, San Francisco; July 28, 2009, Journal of the American College of Cardiology, online


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Southern California Surgical Center (heart411.com) Specializes in Mitral Valve Replacement
2. Heartland Information Services Again Improves in Customer Satisfaction
3. H1N1 Swine Flu Leads to Cancellation of HIV/AIDS Summer Camp. One Heartland Announces Campaign to Fund Alternative Camp Session for 82 Children.
4. Agent Orange Linked to Parkinsons, Heart Disease
5. Vietnam Veterans of America to VA: Dont Wait for Us to Die: Grant Association to Agent Orange Exposure for Parkinsons, Heart Disease, Hypertension
6. Study in this Week's Issue of Cell Finds Injected Growth Factor Spurs Heart Regeneration
7. Injection May Heal Damaged Heart
8. Bioheart Announces Acceptance of Marvel-1 Data for Presentation at the Heart Failure Society of America (HFSA) Meeting
9. Texas Health Dallas Receives Double Honor From American Heart Association
10. Heartfelt Tales by Physicians and Patients Inspire a Unique Online National Magazine
11. Women's Health Expert Dr. Susan Lark Featured on Searchhearthealth.com
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Many Heart Attack Patients Not Referred to Cardiac Rehab  
(Date:6/27/2016)... (PRWEB) , ... June 27, 2016 , ... "FCPX editors ... customizable inside of Final Cut Pro X," said Christina Austin - CEO of Pixel ... style. Final Cut Pro X users can now reveal the media of ...
(Date:6/26/2016)... PLAINSBORO, N.J. (PRWEB) , ... June 27, 2016 , ... ... same sources, yet in many ways they remain in the eye of the beholder, ... Oncology (EBO), a publication of The American Journal of Managed Care. For the full ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women are ... with endometriosis. These women need a treatment plan to not only alleviate symptoms ... can help for preservation of fertility and ultimately achieving a pregnancy. The specialists ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the ... Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , “We ... new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... are unfamiliar with. The article goes on to state that individuals are now more ... these less common operations such as calf and cheek reduction. The Los Angeles area ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 24, 2016  Collagen Matrix, Inc., ("Collagen Matrix") ... manufacturing of collagen and mineral based medical devices ... Bill Messer has joined the company ... leverage the growing portfolio of oral surgery, neurosurgery, ... Bill joins the Collagen Matrix executive team as ...
(Date:6/24/2016)... , June 24, 2016   Bay ... Rehabilitation Network,s Dean Center for Tick Borne ... Medicine and Rehabilitation, MIT Hacking Medicine, University of ... Innovation, today announced the five finalists of ... Lyme disease.  More than 100 scientists, clinicians, researchers, ...
(Date:6/24/2016)... , June 24, 2016 ... the "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" ... In-Mold Electronics, Smart Skin, Structural ... Structural electronics involves electronic and/or ... protective structures, replacing dumb structures such as vehicle ...
Breaking Medicine Technology: