โก Quick Summary
This article explores the critical role of cardiac rehabilitation (CR) in managing coronary artery disease (CAD), highlighting its benefits in reducing mortality and improving quality of life. Despite its effectiveness, participation in CR remains low, particularly among vulnerable populations, necessitating innovative solutions like telemedicine and artificial intelligence for personalized care.
๐ Key Details
- ๐ Focus: Cardiac rehabilitation for coronary artery disease
- ๐งฉ Components: Exercise, risk factor modification, education
- โ๏ธ Modalities: Traditional center-based CR, home-based CR, hybrid models
- ๐ Efficacy: Comparable outcomes between remote delivery and traditional CR
- ๐ Technologies: Telemedicine, mobile health, wearable biosensors, artificial intelligence
๐ Key Takeaways
- ๐ก CR is essential for secondary prevention in CAD, significantly reducing all-cause mortality.
- ๐ Participation rates in CR are notably low, especially among women, older adults, and socioeconomically disadvantaged groups.
- ๐ฅ Remote CR delivery via telemedicine has shown comparable efficacy to traditional methods.
- ๐ค AI integration can personalize CR through continuous monitoring and tailored exercise prescriptions.
- ๐ฐ Cost-effectiveness of CR from a health-system perspective is clear, but access remains a challenge.
- ๐ Targeted interventions are necessary to ensure equitable access to CR services.

๐ Background
Cardiovascular disease is the leading cause of global morbidity and mortality, with coronary artery disease being a primary contributor to premature death. Cardiac rehabilitation serves as a cornerstone of secondary prevention, integrating various components to enhance patient outcomes. However, despite its proven benefits, participation in CR remains suboptimal, particularly among specific demographic groups.
๐๏ธ Study
The authors of this study examined the various modalities of cardiac rehabilitation, including traditional center-based CR, home-based CR, and hybrid models. They emphasized the importance of leveraging modern technologies such as telemedicine and wearable biosensors to enhance the delivery and effectiveness of CR programs.
๐ Results
The findings indicate that remote delivery of CR through telemedicine and mobile health platforms can achieve outcomes comparable to traditional center-based approaches. The integration of artificial intelligence offers exciting opportunities for personalizing rehabilitation programs, allowing for continuous physiological monitoring and tailored exercise prescriptions.
๐ Impact and Implications
The implications of this study are profound. By addressing the gaps in CR participation and utilizing digital models, healthcare providers can enhance the accessibility and effectiveness of rehabilitation programs. This approach not only improves patient outcomes but also promotes equitable healthcare delivery, particularly for underserved populations.
๐ฎ Conclusion
In conclusion, cardiac rehabilitation remains a vital component of secondary prevention for coronary artery disease. The integration of innovative technologies and personalized approaches can significantly enhance participation and outcomes. As we move forward, it is crucial to implement targeted policies and interventions to ensure that all patients have equitable access to these life-saving services.
๐ฌ Your comments
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Cardiac Rehabilitation for Coronary Artery Disease: Gaps, Digital Models, and the Future of Personalized Prevention.
Abstract
Cardiovascular disease is the leading cause of global morbidity and mortality, with coronary artery disease representing the primary driver of premature death. Cardiac rehabilitation (CR) is a cornerstone of secondary prevention that integrates exercise, risk factor modification, and education. CR reduces all-cause mortality, recurrent ischemic events, and improves quality of life. Yet, participation remains suboptimal, and CR is underutilized by women, older adults, minorities, and socioeconomically disadvantaged groups. We examine the modalities of CR including traditional center-based CR (CBCR), home-based CR and hybrid models. By leveraging telemedicine, mobile health, and wearable biosensors remote delivery of CR has shown comparable efficacy to traditional CBCR. The integration of artificial intelligence offers opportunities to personalize CR through continuous physiological monitoring and exercise prescriptions. In conclusion, CR remains cost-effective from a health-system perspective, but patient-level affordability and equitable access require targeted policy, financial, and culturally adapted interventions to ensure personalized and equitable delivery of secondary prevention.
Author: [‘Bola H’, ‘Rai A’, ‘Penumaka R’, ‘Ulucay E’, ‘Levin E’, ‘Maron D’]
Journal: Am J Cardiol
Citation: Bola H, et al. Cardiac Rehabilitation for Coronary Artery Disease: Gaps, Digital Models, and the Future of Personalized Prevention. Cardiac Rehabilitation for Coronary Artery Disease: Gaps, Digital Models, and the Future of Personalized Prevention. 2025; (unknown volume):(unknown pages). doi: 10.1016/j.amjcard.2025.12.013