Cardiac Rehab Research

Cardiac Rehab Research

Cardiac Rehab Research Abstracts 2010-2014

Cardiac Rehab Research Abstracts 2010 - 2014

Scales, R., Hall, L., Bright, H. (2014). The status of cardiac and pulmonary rehabilitation programs in Arizona: 2014 Update. Proceedings of a conference. Arizona Society of Cardiovascular and Pulmonary Rehabilitation Annual Meeting, Scottsdale, Arizona

Scales, R., Hall, L., Bright, H. (2014). The status of cardiac and pulmonary rehabilitation programs in Arizona: 2014 Update. Proceedings of a conference. Arizona Society of Cardiovascular and Pulmonary Rehabilitation Annual Meeting, Scottsdale, Arizona

The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recommend that every cardiac and pulmonary rehabilitation program becomes nationally certified to ensure strict standards of patient care and quality programming. This investigation was conducted to update Arizona Society of Cardiovascular and Pulmonary Rehabilitation (ASCVPR) records of the number of cardiac rehabilitation (CR) and pulmonary rehabilitation (PR) programs that were AACVPR certified in Arizona (AZ). A delegated ASCVPR representative provided a record of programs that offered early outpatient CR and PR within the state. An updated record through March, 2014 was then compiled. There were 19 CR and 3 PR certified programs in AZ. According to ASCVPR records, 32 programs offered early outpatient CR. Eleven programs offered outpatient PR. This means that 59% of all early outpatient CR programs and 27% of PR programs in AZ were certified. In 2010, there were 11 certified CR programs, which was 32% of the 34 institutions offering CR at that time. It is recommended that the ASCVPR continues to routinely update their record of CR and PR programs and that initiatives be developed to assist programs in the certification process.


Scales, R., Hall, L., Gallagher, A., Obioha, J., Bright, H., Cornella, K. A., Kane, C., Liffiton, J., Royter, A., Bazzell, J., Lynch, J. (2014). Expanding partnerships within the healthcare system to bring outpatient cardiac rehabilitation closer to home. Proceedings of a conference (pp. 17). Mayo Clinic 2014 Quality Symposium, Phoenix, Arizona.

Scales, R., Hall, L., Gallagher, A., Obioha, J., Bright, H., Cornella, K. A., Kane, C., Liffiton, J., Royter, A., Bazzell, J., Lynch, J. (2014). Expanding partnerships within the healthcare system to bring outpatient cardiac rehabilitation closer to home. Proceedings of a conference (pp. 17). Mayo Clinic 2014 Quality Symposium, Phoenix, Arizona.

Outpatient cardiac rehabilitation (CR) is underutilized within the United States. The commute distance to a program and the lack of physician referral are barriers to participation. This project developed a quality improvement process (QIP) that enabled Mayo Clinic (MC) patients to participate in supervised outpatient CR closer to home. The project was coordinated by a medical practice assistant (MPA). A directory was compiled with all of the referral forms for CR programs within Arizona. The MPA received a weekly list of patients that were discharged from inpatient CR after a cardiac procedure. Required paperwork for a referral to an outside CR facility was prepared for the cardiologist prior to the routine outpatient follow-up visit. A signed physician referral was then faxed to the outside CR program. The MPA requested intermittent progress reports to confirm the patient had completed enrollment in the program (>1 CR exercise session) and was an active participant at 4-weeks. 255 patients received inpatient CR at MC-Arizona between February-November, 2013. 127 (50%) agreed to a referral to outpatient CR, including 78 (31%) to an outside program. 53 (68%) outside referrals had a confirmation of enrollment. 46 (87%) of these patients were actively participating at 4-weeks. More patients participated in outside CR (54%) than MC CR (46%). This QIP assisted physicians in expediting a CR referral close to the patient’s home and elevated participation in outpatient CR for MC patients to more than double the national average. Further investigation is needed to determine the influence on hospital readmission.


Pierce, C., Staley, L., Scales, R., Bright, H., Arabia, F. (2010). Early trends in a new ventricular assist device program: Establishing a need for cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, Abstract S132, 30, 4: 278.

Pierce, C., Staley, L., Scales, R., Bright, H., Arabia, F. (2010). Early trends in a new ventricular assist device program: Establishing a need for cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, Abstract S132, 30, 4: 278.

The implantation of a ventricular assist device (VAD) may provide a bridge to transplant (BTT) or bridge to recovery (BTR) for some patients with end-stage heart failure or serve as a destination therapy (DT) for those ineligible for transplantation surgery. Outpatient cardiac rehabilitation (CR) may benefit patients that receive long-term VAD support. This investigation was conducted to determine the number of VAD supported patients that were discharged from a new mechanical circulatory support device (MCSD) program based in the southwestern region of the United States. The study involved a retrospective analysis of the hospital's MCSD database, which was standardized to comply with national requirements for an accredited mechanical heart program. Records were identified for all VAD implants since the program's inception in October, 2005 through December, 2009. This included patients who received left (LVAD), right (RVAD) or bilateral (BiVAD) support for BTT, BTR or DT. A total of 162 patients received a VAD implant during the designated timeframe, resulting in the accumulation of 14436 days of VAD support. Fifty-six patients (35%; LVAD=42; RVAD=1; BiVAD=13) were implanted with discharge capable devices (2005=2; 2006=5; 2007=10; 2008=16; 2009=23) and accounted for 87% of the total VAD support days (total=12551; 2005=53; 2006=310; 2007=1348; 2008=3297; 2009=7543). Thirty-seven of the fifty-six patients (66%) were discharged home (2005=0; 2006=1; 2007=8; 2008=9; 2009=19) at mean post-operative day 42 (SD=27) for all indications. In this preliminary study of the data associated with this relatively new MCSD program, there was an upward trend in the number of discharge capable VAD implants and there was a steady increase in the number of patients that were discharged home on VAD support. Further research is needed to help CR professionals understand the specific needs of VAD patients as they transition from the hospital to an outpatient setting.


Bright, H., Scales, R. (2010). National program certification: The status of cardiac rehabilitation programs in Arizona. Proceedings of a conference. Arizona Society of Cardiovascular and Pulmonary Rehabilitation Annual Meeting, Phoenix, Arizona.

Bright, H., Scales, R. (2010). National program certification: The status of cardiac rehabilitation programs in Arizona. Proceedings of a conference. Arizona Society of Cardiovascular and Pulmonary Rehabilitation Annual Meeting, Phoenix, Arizona.

The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recommend that every cardiac rehabilitation (CR) program becomes nationally certified to ensure strict standards of patient care and quality programming. Future Medicare reimbursement for CR services may be tied to program standards that are considered imperative, such as those required in the AACVPR program certification process. This investigation was conducted to determine the number of CR programs that are AACVPR certified in Arizona (AZ). The Arizona Society of Cardiovascular and Pulmonary Rehabilitation (ASCVPR) is an affiliate organization of the AACVPR and represents cardiac and pulmonary rehabilitation professionals within the state. Delegated ASCVPR representatives provided a record of programs that offered early outpatient CR within the state. An updated record through December 2009 was then compiled. There was a total of 11 AACVPR certified CR programs in AZ. According to ASCVPR records, 34 programs offer early outpatient CR. This means that 32% of all early outpatient CR programs in AZ are certified. It is recommended that the ASCVPR continues to routinely update their record of CR programs and that initiatives be developed to assist CR programs in the certification process.