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Reviews in Cardiovascular Medicine  2019, Vol. 20 Issue (1): 27-33     DOI: 10.31083/j.rcm.2019.01.53
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Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance
Yun Tian1, #, Pingji Deng2, #, Bing Li1, #, Jieqiong Wang1, Ju Li1, Yulan Huang3, Yan Zheng4, *()
1 Hubei University of Medicine , Shiyan, Hubei, 442000, China
2 School of Public Health and Management, Hubei University of Medicine, Shiyan, Hubei, 442000, China
3 Department of Cardiac Rehabilitation, Renmin Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei, 442000, China
4 Department of Nursing, Renmin Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei, 442000, China
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Coronary heart disease is a serious threat to human health. In China, medical care for the population has been focused on therapy with little follow-up of treated patients. The efficacy of therapy; however, is highly dependent on post-therapy recovery. Cardiac rehabilitation can significantly enhance patient physical strength and help delay and prevent the development of coronary atherosclerosis. Although the clinical significance of cardiac rehabilitation has been established, the compliance of patients is generally low. In efforts to improve patient compliance, domestic and foreign researchers have extensively studied and applied treatment models of cardiac rehabilitation according to the specific conditions and cultural background of each country. This study aimed to review the treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance to provide a better perspective of how patients with coronary heart disease can benefit from cardiac rehabilitation.

Key words:  Coronary heart disease      cardiac rehabilitation      treatment      compliance     
Published:  30 March 2019     
*Corresponding Author(s):  Yan Zheng     E-mail:
About author:  # These authors contributed equally.

Cite this article: 

Yun Tian, Pingji Deng, Bing Li, Jieqiong Wang, Ju Li, Yulan Huang, Yan Zheng. Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance. Reviews in Cardiovascular Medicine, 2019, 20(1): 27-33.

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Table 1  Treatment models and characteristics of previous studies
Treatment models Researchers Evaluation/monitoring methods Advantages and disadvantages
Hospital-based CR Kim (Kim et al., 2011)
Martinez (Martinez et al., 2011)
Amao (Amao et al., 2016)
Bravo (Bravo-Escobar et al.,2017)
Endothelial function, HR, BP

Heart function, ability to walk
Quality of life
It is applicable to a wide range of people; however, it is expensive and time consuming for patients, leading to low patient compliance.
Home-based CR Chen (Chen et al., 2018)
Saygin(Saygin Aydin et al., 2018)
Frontera (Frontera et al., 2017)
Fang (Fang et al., 2019)
Liu ( Liu et al., 2013)
Vieira (Vieira et al., 2018)
VO2max, AT, quality of life
Walking distance, anaerobic value, LVEF, VO2max
Remote electrocardiogram

Remote sensors
Sports bracelet
Virtual reality technology
It is not limited by space and time, is easy to integrate into the patient's life, is convenient, and has a low cost; however, more studies are needed to verify its training effect. In addition, it is only applicable to patients with low to medium rehabilitation risks.
Other forms of CR (multifactorial individualized telemedicine, remote healthcare focusing on exercise or recovery, and community CR) Dorje (Dorje et al., 2018) Walking distance, medication adherence, mental health, quality of life These models can reduce the risk factors of CHD, the difficulty due to inconvenient transportation, and the economic burden on patients.
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