Integrated cardiovascular disease management: how do non-cardiac and polyvascular patients fare?

The incidence and prevalence of non-communicable disease is increasing. Preliminary evidence suggests that benefits of cardiovascular rehabilitation (CR) participation are observed in patients with stroke and diabetes (vascular diseases). The objectives were to compare outcomes of patients whose primary CR indication was cardiac (CD) versus vascular disease following initiation of CR.

Participants were recruited through a multi-site program evaluation at four CR programs. Consenting participants completed a survey pre-program and again 6 months later. Clinical data were extracted from patients' charts at both time points.

CD patients were significantly more likely to complete CR. CD patients who attended CR significantly improved their activity status, exercise behavior and nutrition. Vascular disease patients who attended CR significantly improved their physical activity.

This practical examination of integrated chronic disease management provides preliminary support for the benefits of CR for vascular disease patients, but attention to meeting their unique needs to ensure full participation may be needed.