Cardiac rehabilitation in older adults: is it just lifestyle?

摘要

It is well established that there are patients who are less likely to access cardiac rehabilitation (CR). They include women, those of low socioeconomic status, patients living in rural areas, ethnocultural minorities and older adults. Reflecting on Jepma ’s paper in , we turn our focus to CR programmes for older adults. Despite CR being a class I recommendation in the European Society of Cardiology guidelines, there continues to be a significant underutilisation of CR in older adults. Knowledge gaps across current evidence-based practice guidelines pertain to lack of sufficient data to provide sound recommendations for older adults. This is in part due to the fact that studies on which guidelines are based enrolled a low number of older adults or included older adults with few comorbidities.