In this podcast, alternative models of cardiac rehabilitation (CR) are discussed by Drs. Brown and Tracy, with Dr. Forman serving as moderator. The rationale for the needs for remote and hybrid models of care are presented, as well as the definitions of what these alternative models should be (incorporating all of the key components of the standard of care facility based CR). Specific formats (synchronous and asynchronous) are also explored. Broad conceptual value to patients is described as well as specific experiences at Rush University, where remote and hybrid options are available, as well as site-based cardiac rehabilitation care. The safety and reimbursement is also be reviewed.

Related References:

1. Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE, Franklin BA, Keteyian SJ, Kitzman DW, Regensteiner JG, Sanderson BK, Whooley MA. Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019 Jul 9;74(1):133-153. doi: 10.1016/j.jacc.2019.03.008. Epub 2019 May 13. PMID: 31097258; PMCID: PMC7341112.
2. Beatty, AL, Brown TM, Corbett M, Diersing D, Keteyian SJ, Mola A, Stolp H, Wall HK, Sperling LS. Million Hearts Cardiac Rehabilitation Think Tank: Accelerating new care models. Circulation: Cardiovac Qual Outcomes 2021;14:e008215.
3. Tadashi Funahashi, Lina Borgo, Nina Joshi. Saving Lives with Virtual Cardiac Rehabilitation. NEJM Catalyst. 2019 August.
4. Ravi Choxi, et al. Cardiac Rehabilitation and Implications During the Covid-19 Era. Position Statement for the American College of Cardiology. 2021 Jan.
5. Steven J. Keteyian, et al. A Review of the Design and Implementation of a Hybrid Cardiac Rehabiitation Program An Expanding Opportunity For Optimizing Cardiovascular Care. JCRPJournal. 2021; 00: 1-9.

Clinical Topics: Cardiovascular Care Team, Prevention

Keywords: CardiaCast, Cardiac Rehabilitation

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