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Introduction
Ischaemic heart disease is one of the leading causes of death
worldwide, closely related to the increase in cardiovascular risk factors
and non-communicable diseases, which contributes significantly to
morbidity and healthcare costs, making it a public health problem.
1,2
A secondary prevention measure is cardiac rehabilitation in patients
with chronic ischaemic heart disease.
3
Cardiac rehabilitation includes
several non-pharmacological interventions, which aim to limit the
harmful physiological and psychological effects of cardiac diseases.
The aforementioned allows the patient to return to daily life as fully and
quickly as possible.
4
Cardiac rehabilitation includes physical training,
health education, quality of life, cardiovascular risk management and
psychological support. All these actions are individualised according
to the needs of patients with heart disease.
5,6
There are three phases of cardiac rehabilitation. The first phase
takes place in the hospital setting within the first 3 to 4 days after the
cardiac event, implementing actions such as personal hygiene, subtle
movements such as sitting up, movements within the hospital bed
and breathing movements.
6,7
The second phase consists of physical
preparation, which should be performed three times a week, depending
on the cardiovascular risk stratification obtained. This includes
aerobic exercise and dietary guidance, with monitoring of pulse and
systemic blood pressure. It also considers the degree of exertion and
mainly support for reintegration into working life.
8
The third phase is
developed autonomously by the patient and involves increasing and
maintaining functional capacity. It requires a perfect understanding
of their disease, with emphasis on nutritional control and the
biopsychosocial aspect. The duration of this last phase is lifelong,
so monitoring and supervision must be carried out in conjunction
with the multidisciplinary health team.
8
Despite the known benefits
of outpatient cardiac rehabilitation in the Mexican population, its
study, dissemination, implementation and participation are limited.
9,10
Regardless of the documented benefits, cardiac rehabilitation
remains an untapped resource due to many factors, including patient
attitudes.
11,12
Probably the main problem in phase three of cardiac
rehabilitation is the lack of knowledge about it. This leads to poor
adherence to pharmacological treatment in subjects with systemic
arterial hypertension (SAH) in primary care units in Mexico,
13
low
Int J Fam Commun Med. 2025;9(1):1‒4. 1
©2025 Lopez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Level of knowledge in outpatient cardiac
rehabilitation in adults with chronic coronary artery
disease in a family medicine unit in Mexico
Volume 9 Issue 1 - 2025
1
Family Medicine Unit No. 64 “Tequesquinahuac”, Mexican
Institute of Social Security, Tlalnepantla de Baz, State of Mexico,
Mexico
2
Family Medicine Unit No.79, Mexican Institute of Social
Security, Tlalnepantla de Baz, State of Mexico, Mexico
3
Auxiliary Medical Coordination of Health Research,
Decentralized Administrative Operation Body, Mexico East,
State of Mexico, Mexico
4
Family Medicine Unit No.96, Mexican Institute of Social
Security, Tlalnepantla de Baz, State of Mexico, Mexico
5
Family Medicine Unit with Ambulatory Care Medical Unit No.
180, Mexican Social Security Institute, State of Mexico, Mexico
6
Family Medicine Unit No.58,” Las Margaritas”, Mexican Institute
of Social Security, State of Mexico, Mexico
Correspondence: Francisco Vargas Hernández, Clinical
Coordinator of Health Education and Research, Family Medicine
Unit No. 64 “Tequesquinahuac”, Mexican Social Security
Institute, State of Mexico, Mexico, Tel +52 55 1406 2096
Received: February 27, 2025 | Published: March 12 2025
Abstract
Introduction: Ischaemic heart disease is the leading cause of mortality in the world and in
Mexico. Outpatient cardiac rehabilitation is a non-pharmacological secondary prevention
measure, whose application and study are limited in the Mexican population. Therefore, the
aim of this study was to identify the level of knowledge of outpatient cardiac rehabilitation
in Mexican adults.
Material and methods: An observational, cross-sectional, descriptive study was
carried out in a family medicine unit in Mexico. Men and women aged 40 to 80 years
old with chronic coronary heart disease were included. A sample calculation was made
for a prevalence of n=240 adults. The Coronary Artery Disease Education Questionnaire
Short Version (CADE-Q SV) and a sociodemographic data questionnaire were used. The
univariate analysis of qualitative variables was performed by frequencies and percentages.
For quantitative variables, the type of distribution was determined by statistical test criteria
(Kolmogorov-Smirnov, considering a p > 0.05) using median and interquartile ranges (IQR
25, 75).
Results: Of a total of 240 participants, 72.2% were male, the median age was 69 years old
and 93% had systemic arterial hypertension. 57.3% and 30.4% had a good and great level
of knowledge of outpatient cardiac rehabilitation, respectively.
Conclusions: The level of knowledge of outpatient cardiac rehabilitation is good in the
study population, however, longitudinal studies with multivariate models are needed to
determine the factors influencing the level of knowledge of cardiac rehabilitation.
Keywords: cardiovascular disease, cardiac rehabilitation, ischaemic heart disease
International Journal of Family & Community Medicine
Research Article Open Access