Journal of Cardiopulmonary Rehabilitation and Prevention

JCRP was the first, and remains the only, professional journal dedicated to improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation.  This includes exercise testing and prescription, behavioral medicine, and cardiopulmonary risk factor management.  In 2007, JCRP expanded its scope to include primary prevention of cardiovascular and pulmonary diseases. JCRP publishes scientific and clinical peer-reviewed Original Investigations, Reviews, and Brief or Case Reports focused on the causes, prevention, and treatment of individuals with cardiovascular or pulmonary diseases in both a print and online-only format. Editorial features include Editorials, Invited Commentaries, Literature Updates, and Clinically-relevant Topical Updates.  JCRP is the official Journal of the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation.

Indexing: Journal of Cardiopulmonary Rehabilitation and Prevention is cited in Allied and Complementary Medicine DatabaseCumulative Index to Nursing Administration and Health Literature (CINAHL), EBSCO A-Z, EMBASE, Ex Libris, HINARI, JournalGuide, MEDLINE, ProQuest, PubMed, Science Citation Index Expanded, Scopus, TDNet, and Web of Science. 

Changes to AACVPR Member JCRP Subscriptions

Any AACVPR membership gives you a free subscription to the Journal of Cardiopulmonary Rehabilitation and Prevention (JCRP). Beginning this year, JCRP is moving to a digital-only format, as part of AACVPR’s efforts to “go green” and reallocate important resources to other strategic initiatives. Your membership dues will still cover unlimited access to the Journal online, but there will be an additional $15 fee associated with receiving a printed version. You will be able to add the $15 print journal subscription on when renewing your AACVPR membership, or you can email aacvpr@aacvpr.org to be invoiced for the print subscription fee. 

Join AACVPR now to receive JCRP online access and gain access to other membership benefits! If you would like to purchase a subscription to JCRP as a non-member, you'll pay $249 a year.

AACVPR Members: Click here to access JCRP Online.

New Joint Statement on Home-Based Cardiac Rehabilitation Released

DALLAS, May 13, 2019 — Home based, medically supervised cardiac rehabilitation may be, for some patients, an alternative to traditional medical center cardiac rehabilitation programs after a heart attack or other heart procedure, according to a joint scientific statement from the American Heart Association, American College of Cardiology and the American Association of Cardiovascular and Pulmonary Rehabilitation.

Traditional cardiac rehabilitation programs are provided in a medical center and are implemented by a team of physicians, nurses, psychologists, registered dieticians and other professionals. They help patients recover from heart attacks, bypass surgery, angioplasty, heart failure and other conditions through a program of exercise training, nutrition and psychological counseling tailored to each individual’s needs. Cardiac rehabilitation has been proven effective at reducing the risk of subsequent heart attacks, improving quality of life and avoiding additional hospitalizations in addition to other benefits.

However, about 80% of U.S. patients who would benefit from cardiac rehabilitation do not participate, according to Randal J. Thomas, M.D., M.S., chair of the writing group for the statement published simultaneously in the American Heart Association journal Circulation, the Journal of the American College of Cardiology and the Journal of Cardiopulmonary Rehabilitation and Prevention.

“There are significant barriers that prevent patients from getting the cardiac rehabilitation care that they need. And, there aren’t enough programs in the United States to meet the needs of every patient that would benefit,” said Thomas, a professor of medicine and medical director of the cardiac rehabilitation program at Mayo Clinic in Rochester, Minnesota. “There is an urgent need to find new ways of delivering cardiac rehabilitation programs to patients. Home-based care is an excellent option for some patients who aren’t able to attend a center-based program.”

The statement presents a framework for home-based cardiac rehabilitation programs that helps ensure patients get scientifically-based, standardized care, Thomas said.

“A home-based cardiac rehabilitation program is much more than advising a patient to exercise at home,” he said. “For patients whose heart disease is stable, home-based cardiac rehabilitation is administered and monitored in the same way and by the same health care team as with medical center-based cardiac rehabilitation. The difference is that supervision and coaching are done remotely, using smart phones or other technology.”

Thomas said that for a program done in the home to be effective, health care providers should ensure patients are on the right medications and are improving exercise and nutrition habits. In addition, psychological health, medical conditions linked to heart disease, such as diabetes, high blood pressure and high cholesterol, as well as risk factors for heart disease such as tobacco smoking should be addressed. Patients should also be monitored for any heart disease symptoms or for side effects of medications. “All of these components should be in place with a high-quality home-based program – if they are not, patients could be receiving less care than they need,” Thomas said.

Heart attack, heart bypass and other heart patients should talk with their health care providers about their rehabilitation options – whether those are center-based, home-based or a mix of the two.

“Unfortunately, cardiac rehabilitation in the home-based setting is generally not covered by most insurance carriers, including Medicare. As more evidence accumulates to support home-based cardiac rehabilitation and the technology advances to make this more feasible, we need to work together with policymakers to find ways for these services to be covered” Thomas said.

Health care systems in the United Kingdom, Canada and other countries successfully offer home-based cardiac rehabilitation, but most U.S. health care organizations have little experience with the home-based option.

Researchers have shown that in many patients with stable heart disease home-based cardiac rehabilitation can achieve results similar to medical center-based cardiac rehabilitation in the months and years following heart attacks or other cardiac procedures. What isn’t as clear is how home-based care compares with center-delivered cardiac rehabilitation for higher-risk cardiac patients, the elderly, women and some understudied minority groups, according to Thomas.

Co-authors include: vice-chair of the writing group Mary A. Whooley, M.D.; Alexis L. Beatty, M.D., M.A.S.; Theresa M. Beckie, Ph.D., M.S.N.; LaPrincess C. Brewer, M.D., M.P.H.; Todd M. Brown, M.D.; Daniel E. Forman, M.D., Barry A. Franklin, Ph.D..; Steven J. Keteyian, Ph.D.; Dalane W. Kitzman, M.D.; Judith G. Regensteiner, Ph.D.; and Bonnie K. Sanderson, Ph.D., R.N. Author disclosures are on the manuscript.

To view the full position statement, please visit the JCRP website today. The statement is currently available free of charge, and all JCRP articles are available to AACVPR members through the AACVPR website here (login required).