3:30 PM – 4:30 PM – SESSION 4
Renforcer l'autonomie des patients grâce à la réadaptation cardiaque
Points forts de la session
In this WHF Heart Café conversation, Sidney C. Smith (UNC) and Julie Redfern (Bond University) hosts with panelists Abraham Babu (Manipal), Dion Candelaria (University of Sydney) and Irene Gibson (Ireland) to launch the World Heart Federation Cardiovascular Rehabilitation Roadmap. The panel explores why cardiac rehabilitation (CR) remains underused, how to scale hybrid & tele-rehabilitation, ways to boost enrolment and completion (opt-out referrals, bedside endorsement), and how to embed CR within lifelong cardiovascular health, policy & financing, and equitable access in both HICs and LMICs.
Principaux enseignements
Underuse despite Class I evidence
Awareness, workforce gaps, and perceived ROI limit referrals—especially in low-resource settings and for women and other under-represented groups.
Make referral opt-out
Automatic (eHR/paper) referral plus clear bedside endorsement from cardiologists/surgeons increases enrolment and attendance.
Hybrid & tele-rehab work when flexible
Combine in-person assessment with remote follow-up (phone, apps, activity trackers) and offer on-site check-ins to maximize reach, safety, and adherence.
From “rehab program” to lifelong care
Reframe as lifelong cardiovascular health with 6–12-month check-ins, peer support, and patient empowerment rather than time-limited classes.
Build capacity
Invest in education & standardized curricula for multidisciplinary teams (nurses, physiotherapists, exercise physiologists, dietitians, psychologists), including LMIC-ready online training.
Models that scale
Use hub-and-spoke networks linking specialist centers to community sites; integrate CR within chronic disease management pathways (cardio-metabolic & respiratory).
Policy & financing matter
Include CR in national strategies, benefit packages, and reimbursement; align with UN SDGs to strengthen advocacy.
Data for value
Routine quality metrics (enrolment, completion, readmissions, risk-factor control) and registries power funding cases and continuous improvement.
Equity by design
Co-create options for women, older adults, rural/remote and minority groups; address digital literacy and access barriers.
Qui doit regarder ?
Cardiologists, cardiac surgeons, GPs, nurses, physiotherapists, exercise physiologists, dietitians, psychologists, program managers, payers & policymakers, digital-health teams, and patient organizations working on cardiac rehabilitation, secondary prevention, and chronic disease management in both HICs and LMICs.
Session de réadaptation cardiovasculaire - FAQ
Pourquoi la réadaptation cardiaque est-elle encore sous-utilisée ?
Sensibilisation limitée, manque de personnel et de financement, horaires de clinique peu pratiques et absence d'orientation automatique. Le fait de rendre les renvois facultatifs et d'obtenir l'approbation claire des cliniciens traitants au chevet des patients améliore systématiquement l'adoption du traitement.
À quoi ressemble la télé-réhabilitation "hybride" et est-elle sûre ?
Un mélange flexible d'évaluation en personne et de suivi à distance (téléphone/vidéo, applications, traqueurs) avec des contrôles facultatifs sur place. Les programmes devraient surveiller l'adhésion, assurer des voies d'escalade pour les patients à haut risque et soutenir la littératie numérique.
Comment stimuler l'inscription et l'achèvement des études ?
Utiliser l'orientation automatique, les voies normalisées et les options centrées sur le patient (domicile, communauté, télémédecine). Impliquer les patients au moment du diagnostic, impliquer les familles/pairs et prévoir des horaires au-delà du 9-5 pour s'adapter au travail et à la prise en charge.
Quelles sont les stratégies de mise à l'échelle qui ont fait leurs preuves dans les PRFM ?
Embed CR within primary care & chronic disease programs, adopt hub-and-spoke networks, invest in online training, and secure policy and reimbursement. Collect routine outcome data to demonstrate value.