Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future
Contemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practic...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.842567/full |
| _version_ | 1818009951048564736 |
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| author | Julie Redfern Robyn Gallagher Adrienne O’Neil Sherry L. Grace Sherry L. Grace Adrian Bauman Garry Jennings David Brieger Tom Briffa |
| author_facet | Julie Redfern Robyn Gallagher Adrienne O’Neil Sherry L. Grace Sherry L. Grace Adrian Bauman Garry Jennings David Brieger Tom Briffa |
| author_sort | Julie Redfern |
| collection | DOAJ |
| description | Contemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practice related to secondary prevention of coronary disease in light of societal changes as well as medical, digital and surgical advancements. Contemporary “cardiac rehabilitation” began when bed rest and physical inactivity was recommended and commonplace for MI survivors. Today, most patients who survive an MI, undergo reperfusion therapy, a short inpatient stay and are discharged with minimal physical morbidity. Despite this, the majority of modern day programs continue to be structured in the same way they have been for the past 50 years and this model has become incongruent with the contemporary context, especially in the COVID-19 era. This review aims to describe the historical foundations of cardiac rehabilitation to inform solutions and meet the demands of contemporary MI management. Delivering health systems reform to address modernization is current healthcare challenge where a united and interdisciplinary effort is needed. |
| first_indexed | 2024-04-14T05:49:21Z |
| format | Article |
| id | doaj.art-42eb6fb5784a47f9827d0799fe55d596 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-14T05:49:21Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-42eb6fb5784a47f9827d0799fe55d5962022-12-22T02:09:10ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-04-01910.3389/fcvm.2022.842567842567Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the FutureJulie Redfern0Robyn Gallagher1Adrienne O’Neil2Sherry L. Grace3Sherry L. Grace4Adrian Bauman5Garry Jennings6David Brieger7Tom Briffa8Faculty of Medicine and Health, University of Sydney, Sydney, NSW, AustraliaFaculty of Medicine and Health, University of Sydney, Sydney, NSW, AustraliaSchool of Medicine, IMPACT Institute, Deakin University, Geelong, VIC, AustraliaFaculty of Health, York University, Toronto, ON, CanadaKITE Toronto Rehabilitation Institute and Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, CanadaSchool of Public Health, University of Sydney, Sydney, NSW, AustraliaNational Heart Foundation of Australia, Melbourne, VIC, AustraliaDepartment of Cardiology, Concord Hospital, Sydney, NSW, AustraliaSchool of Population and Global Health, University of Western Australia, Perth, WA, AustraliaContemporary myocardial infarction (MI) care and management has evolved dramatically since the 1950’s; yet outpatient rehabilitation remains underutilized. Deepening our understanding of the origins and history of cardiac rehabilitation highlights a contemporary shift required for policy and practice related to secondary prevention of coronary disease in light of societal changes as well as medical, digital and surgical advancements. Contemporary “cardiac rehabilitation” began when bed rest and physical inactivity was recommended and commonplace for MI survivors. Today, most patients who survive an MI, undergo reperfusion therapy, a short inpatient stay and are discharged with minimal physical morbidity. Despite this, the majority of modern day programs continue to be structured in the same way they have been for the past 50 years and this model has become incongruent with the contemporary context, especially in the COVID-19 era. This review aims to describe the historical foundations of cardiac rehabilitation to inform solutions and meet the demands of contemporary MI management. Delivering health systems reform to address modernization is current healthcare challenge where a united and interdisciplinary effort is needed.https://www.frontiersin.org/articles/10.3389/fcvm.2022.842567/fullcardiac rehabilitationsecondary preventiondigital healthdataheart |
| spellingShingle | Julie Redfern Robyn Gallagher Adrienne O’Neil Sherry L. Grace Sherry L. Grace Adrian Bauman Garry Jennings David Brieger Tom Briffa Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future Frontiers in Cardiovascular Medicine cardiac rehabilitation secondary prevention digital health data heart |
| title | Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future |
| title_full | Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future |
| title_fullStr | Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future |
| title_full_unstemmed | Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future |
| title_short | Historical Context of Cardiac Rehabilitation: Learning From the Past to Move to the Future |
| title_sort | historical context of cardiac rehabilitation learning from the past to move to the future |
| topic | cardiac rehabilitation secondary prevention digital health data heart |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.842567/full |
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