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Secondary prevention among cardiac patients not referred to cardiac rehabilitation

Natalie A Johnson, Kerry J Inder, Amanda L Nagle and John H Wiggers
Med J Aust 2009; 190 (3): . || doi: 10.5694/j.1326-5377.2009.tb02323.x
Published online: 2 February 2009

To the Editor: Cardiac rehabilitation (CR) is an underutilised evidence-based treatment.1


  • 1 School of Medicine and Public Health, University of Newcastle, Newcastle, NSW.
  • 2 National Heart Foundation of Australia, NSW Division, Sydney, NSW.
  • 3 Hunter New England Population Health, Hunter New England Health Service, Newcastle, NSW.



Acknowledgements: 

Natalie Johnson’s contribution to this project during 1998–2001 was supported by a National Health and Medical Research Council (NHMRC) Public Health Postdoctoral Fellowship (Regkey 964208). We acknowledge the significant contribution of the late Mrs Janet Fisher to data collection and management, and thank the Heart and Stroke Outcomes Council for permission to use the data.

  • 1. Bunker SJ, Goble AJ. Cardiac rehabilitation: under-referral and underutilisation. Med J Aust 2003; 179: 332-333. <eMJA full text> <MJA full text>
  • 2. Nagle A, Fisher J, Wiggers J, et al. Prevalence of being invited, attending and completing phase II outpatient cardiac rehabilitation [abstract]. Third Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke. Am Heart J 2002; 144: 881.
  • 3. Johnson N, Fisher J, Nagle A, et al. Factors associated with referral to outpatient cardiac rehabilitation services. J Cardiopulm Rehabil 2004; 24: 165-170.
  • 4. Vale MJ, Jelinek MV, Best JD, et al, for the COACH Study Group. Coaching patients on achieving cardiovascular health (COACH). Arch Intern Med 2003; 163: 2775-2783.
  • 5. Redfern J, Briffa T, Ellis E, Freedman SB. Patient-centred modular secondary prevention following acute coronary syndrome: a randomized controlled trial. J Cardiopulm Rehabil Prev 2008; 28: 107-115.

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