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Guideline-indicated conditions were accepted in ≥70% of programmes. Most programmes were funded by government/hospital sources ( n = 16, 53.3%), but in 11 programmes (36.7%) patients depended on private health insurance. There was only one cardiac rehabilitation spot for every 99 ischaemic heart disease patient. ResultsĬardiac rehabilitation was available in all Brazilian regions, with 30/75 programmes initiating a survey (40.0% programme response rate).
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Results were compared to data from the 29 upper-MICs with cardiac rehabilitation ( N = 249 programmes). Density was computed using Global Burden of Disease study ischaemic heart disease incidence estimates.
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Cardiac associations were engaged to facilitate programme identification. In this cross-sectional study, a survey was administered to cardiac rehabilitation programmes globally. This study aimed to establish: (1) cardiac rehabilitation volumes and density, and (2) the nature of programmes, and (3) compare these by: (a) Brazilian region and (b) to other upper middle-income countries (upper-MICs). Moreover, South America has CR guidelines, but whether delivery conforms has not been described. Brazil has insufficient cardiac rehabilitation capacity, yet density and regional variation in unmet need is unknown.