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Fifteen Years of Advancing Cardiovascular Rehabilitation in Low-Resource Settings through the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) and a Look Ahead Cover

Fifteen Years of Advancing Cardiovascular Rehabilitation in Low-Resource Settings through the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) and a Look Ahead

Global Heart
Volume 20 (2025): Issue 1
By: Abraham Samuel Babu,  Sherry L. Grace,  Dion Candelaria,  Robyn Gallagher,  Aashish Contractor,  Carley O’Neill,  John Buckley and  Gabriela Lima de Melo Ghisi  
Open Access
|Oct 2025

References

  1. 1Mensah GA, Fuster V, Murray CJL, Roth GA. Global Burden of Cardiovascular Diseases and Risks, 1990–2022. J Am Coll Cardiol. 2023;82(25):2350–2473. DOI: 10.1016/j.jacc.2023.11.007
    Back to article
  2. 2Brown TM, Pack QR, Aberegg E, Brewer LC, Ford YR, Forman DE, et al. Core Components of cardiac rehabilitation programs: 2024 update: A scientific statement from the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2024;150(18):e328–e347. DOI: 10.1161/CIR.0000000000001289
    Back to article
  3. 3Dibben GO, Faulkner J, Oldridge N, Rees K, Thompson DR, Zwisler AD, et al. Exercise-based cardiac rehabilitation for coronary heart disease: A meta-analysis. Eur Heart J. 2023;44(6):452–469. DOI: 10.1093/eurheartj/ehac747
    Back to article
  4. 4Taylor RS, Dalal HM, McDonagh STJ. The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 2022;19(3):180–194. DOI: 10.1038/s41569-021-00611-7
    Back to article
  5. 5Turk-Adawi K, Supervia M, Lopez-Jimenez F, Pesah E, Ding R, Britto RR, et al. Cardiac rehabilitation availability and density around the globe. EClinicalMedicine. 2019;13:31–45. DOI: 10.1016/j.eclinm.2019.06.007
    Back to article
  6. 6Pesah E, Turk-Adawi K, Supervia M, Lopez-Jimenez F, Britto R, Ding R, et al. Cardiac rehabilitation delivery in low/middle-income countries. Heart. 2019;105(23):1806–1812. DOI: 10.1136/heartjnl-2018-314486
    Back to article
  7. 7van Zyl C, Badenhorst M, Hanekom S, Heine M. Unravelling ‘low-resource settings’: A systematic scoping review with qualitative content analysis. BMJ Glob Health. 2021;6(6): e005190. DOI: 10.1136/bmjgh-2021-005190
    Back to article
  8. 8Grace SL, Warburton DR, Stone JA, Sanderson BK, Oldridge N, Jones J, et al. International Charter on Cardiovascular Prevention and Rehabilitation: A call for action. J Cardiopulm Rehabil Prev. 2013;33(2):128–131. DOI: 10.1097/HCR.0b013e318284ec82
    Back to article
  9. 9Mehra VM, Gaalema DE, Pakosh M, Grace SL. Systematic review of cardiac rehabilitation guidelines: Quality and scope. Eur J Prev Cardiol. 2020;27(9):912–928. DOI: 10.1177/2047487319878958
    Back to article
  10. 10World Health Organization. Rehabilitation after Cardiovascular Diseases, with Special Emphasis on Developing Countries: Report of a WHO Expert Committee. WHO Technical Report Series, No. 831. Geneva: World Health Organization; 1993.
    Back to article
  11. 11Grace SL, Turk-Adawi KI, Contractor A, Atrey A, Campbell N, Derman W, et al. Cardiac rehabilitation delivery model for low-resource settings. Heart. 2016;102(18):1449–1455. DOI: 10.1136/heartjnl-2015-309209
    Back to article
  12. 12Grace SL, Turk-Adawi KI, Contractor A, Atrey A, Campbell NR, Derman W, et al. Cardiac rehabilitation delivery model for low-resource settings: An International Council of Cardiovascular Prevention and Rehabilitation consensus statement. Prog Cardiovasc Dis. 2016;59(3):303–322. DOI: 10.1016/j.pcad.2016.08.004
    Back to article
  13. 13Mamataz T, Uddin J, Ibn Alam S, Taylor RS, Pakosh M, Grace SL; ACROSS collaboration. Effects of cardiac rehabilitation in low-and middle-income countries: A systematic review and meta-analysis of randomised controlled trials. Prog Cardiovasc Dis. 2022;70:119–174. DOI: 10.1016/j.pcad.2021.07.004
    Back to article
  14. 14Babu AS, Lopez-Jimenez F, Thomas RJ, Isaranuwatchai W, Herdy AH, Hoch JS, et al. Advocacy for outpatient cardiac rehabilitation globally. BMC Health Services Research. 2016;16:471. DOI: 10.1186/s12913-016-1658-1
    Back to article
  15. 15Ragupathi L, Stribling J, Yakunina Y, Fuster V, McLaughlin MA, Vedanthan R. Availability, use, and barriers to cardiac rehabilitation in LMIC. Glob Heart. 2017;12(4):323–334 e10. DOI: 10.1016/j.gheart.2016.09.004
    Back to article
  16. 16Babu AS, Heald FA, Contractor A, Ghisi GLM, Buckley J, Mola A, et al. Building capacity through ICCPR Cardiovascular Rehabilitation Foundations Certification (CRFC): EVALUATION OF REACH, BARRIERS, AND IMPACT. J Cardiopulm Rehabil Prev. 2022;42(3):178–182. DOI: 10.1097/HCR.0000000000000655
    Back to article
  17. 17Chowdhury MI, Turk-Adawi K, Babu AS, de Melo Ghisi GL, Seron P, Yeo TJ, et al. Development of the International Cardiac Rehabilitation registry including variable selection and definition process. Glob Heart. 2022;17(1):1. DOI: 10.5334/gh.1091
    Back to article
  18. 18Poffley A, Thomas E, Grace SL, Neubeck L, Gallagher R, Niebauer J, O’Neil A. A systematic review of cardiac rehabilitation registries. Eur J Prev Cardiol. 2017;24(15):1596–1609. DOI: 10.1177/2047487317724576
    Back to article
  19. 19Turk-Adawi K, Ghisi GLM, Tran C, Heine M, Raidah F, Contractor A, et al. First report of the International Council of Cardiovascular Prevention and Rehabilitation’s Registry (ICRR). Expert Rev Cardiovasc Ther. 2023;21(5):357–364. DOI: 10.1080/14779072.2023.2199154
    Back to article
  20. 20Raidah F, Ghisi GLM, Anchique CV, Soomro NN, Candelaria D, Grace SL. Promoting cardiac rehabilitation program quality in low-resource settings: Needs assessment and evaluation of the International Council of Cardiovascular Prevention and Rehabilitation’s registry quality improvement supports. Int J Cardiol. 2024;404:131962. DOI: 10.1016/j.ijcard.2024.131962
    Back to article
  21. 21Turk-Adawi KI, Elshaikh U, Contractor A, Hashmi FA, Thomas E, Raidah F, Grace SL. Development and evaluation of the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) program certification for low-resource settings. Int J Gen Med. 2023;16:5199–5214. DOI: 10.2147/IJGM.S423209
    Back to article
  22. 22Ghisi GLM, Xu Z, Liu X, Mola A, Gallagher R, Babu AS, et al. Impacts of the COVID-19 pandemic on cardiac rehabilitation delivery around the world. Glob Heart. 2021;16(1):43. DOI: 10.5334/gh.939
    Back to article
  23. 23Ghisi GLM, Kim WS, Cha S, Aljehani R, Cruz MMA, Vanderlei LCM, et al. Women’s cardiac rehabilitation barriers: Results of the International Council of Cardiovascular Prevention and Rehabilitation’s First Global Assessment. Can J Cardiol. 2023;39(11S):S375–S383. DOI: 10.1016/j.cjca.2023.07.016
    Back to article
  24. 24Ghisi GLM, Supervia M, Turk-Adawi K, Beleigoli A, Contractor A, Mampuya WM, et al. Women-focused cardiac rehabilitation delivery around the world and program enablers to support broader implementation. CJC Open. 2024;6(2Part B):425–435. DOI: 10.1016/j.cjco.2023.10.008
    Back to article
  25. 25Ghisi GLM, Marzolini S, Price J, Beckie TM, Mamataz T, Naheed A, et al. Women-focused cardiovascular rehabilitation: An International Council of Cardiovascular Prevention and Rehabilitation clinical practice guideline. Can J Cardiol. 2022;38(12):1786–1798. DOI: 10.1016/j.cjca.2022.06.021
    Back to article
  26. 26World Health Organization. Package of interventions for rehabilitation. Module 4: cardiopulmonary conditions, 2024. Available at: https://www.who.int/publications/i/item/9789240071162
    Back to article
DOI: https://doi.org/10.5334/gh.1484 | Journal eISSN: 2211-8179
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Language: English
Submitted on: Jun 4, 2025
Accepted on: Sep 26, 2025
Published on: Oct 9, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Keywords:
Cardiac Rehabilitation,
low- and middle-income countries,
Secondary Prevention,
global health

© 2025 Abraham Samuel Babu, Sherry L. Grace, Dion Candelaria, Robyn Gallagher, Aashish Contractor, Carley O’Neill, John Buckley, Gabriela Lima de Melo Ghisi, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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