A Clinical Guide for Assessment and Prescription of Exercise and Physical Activity in Cardiac Rehabilitation. A CSANZ Position Statement

Christian Verdicchio; Nicole Freene; Matthew Hollings; Andrew Maiorana; Tom Briffa; Robyn Gallagher; Jeroen M Hendriks; Bridget Abell; Alex Brown; David Colquhoun; Erin Howden; Dominique Hansen; Stacey Reading; Julie Redfern

doi:10.1016/j.hlc.2023.06.854

A Clinical Guide for Assessment and Prescription of Exercise and Physical Activity in Cardiac Rehabilitation. A CSANZ Position Statement

Heart Lung Circ. 2023 Sep;32(9):1035-1048. doi: 10.1016/j.hlc.2023.06.854. Epub 2023 Jul 27.

Authors

Affiliations

¹ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Centre for Heart Rhythm Disorders, University of Adelaide, SAHMRI and Royal Adelaide Hospital, Adelaide, SA, Australia. Electronic address: christian.verdicchio@sydney.edu.au.
² Physiotherapy, Faculty of Health, University of Canberra, Canberra, ACT, Australia; Health Research Institute, University of Canberra, Canberra, ACT, Australia.
³ Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
⁴ Allied Health Department, Fiona Stanley Hospital, Perth, WA, Australia; Curtin School of Allied Health, Curtin University, Perth, WA, Australia.
⁵ School of Population and Global Health, University of Western Australia, Perth, WA, Australia.
⁶ Centre for Heart Rhythm Disorders, University of Adelaide, SAHMRI and Royal Adelaide Hospital, Adelaide, SA, Australia; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
⁷ Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, Brisbane, Qld, Australia.
⁸ Telethon Kids Institute, Australian National University, Canberra, ACT, Australia.
⁹ Faculty of Medicine, University of Queensland, Brisbane, Qld, Australia; Faculty of Medicine, Wesley Medical Centre, Brisbane, Qld, Australia.
¹⁰ Baker Heart and Diabetes Institute, Melbourne, Vic, Australia; Baker Department of Cardiometabolic Health, University of Melbourne, Melbourne, Vic, Australia.
¹¹ UHasselt, REVAL/BIOMED (Rehabilitation Research Centre), Hasselt University, Hasselt, Belgium.
¹² Department of Exercise Sciences, University of Auckland, Auckland, New Zealand.

PMID: 37516652
DOI: 10.1016/j.hlc.2023.06.854

Abstract

Patients with cardiovascular disease benefit from cardiac rehabilitation, which includes structured exercise and physical activity as core components. This position statement provides pragmatic, evidence-based guidance for the assessment and prescription of exercise and physical activity for cardiac rehabilitation clinicians, recognising the latest international guidelines, scientific evidence and the increasing use of technology and virtual delivery methods. The patient-centred assessment and prescription of aerobic exercise, resistance exercise and physical activity have been addressed, including progression and safety considerations.

Keywords: Cardiac rehabilitation; Cardiovascular disease; Coronary disease; Exercise assessment; Exercise prescription; Physical activity; Position statement; Secondary prevention.

MeSH terms

Cardiac Rehabilitation*
Exercise
Exercise Therapy
Humans
Prescriptions