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The bottom line Globally, the prevalence of coronary heart disease and heart failure is increasing, and there is some evidence of the health benefits of cardiac rehabilitation Effective implementation of cardiac rehabilitation after acute coronary syndrome, coronary revascularisation, and heart failure has remained suboptimal, with overall participation rates <50% over recent decades despite international recommendations International guidelines now recommend that cardiac rehabilitation programmes include health education and psychological counselling Patients should be offered a choice of community based and home based cardiac rehabilitation programmes to fit their needs and preferences Clinicians should endorse cardiac rehabilitation for patients with a recent diagnosis of coronary heart disease or heart failure
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Vol. 351, article h5000
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