(File Date: 2026-02-20 10:24:03) الدليل السعودي لبرامج إعادة التأهيل القلبي والو

Follow up visiting Patient must regularly follow up each member of the rehabilitation team during long-term maintenance phase (6-12months) for continuous progress assessment. Long term maintenance phase may be performed via Tele rehabilitation depending on recommendation of rehab team. Patient responsibilities  Achieve long-term management goals.  Know biopsychosocial self-management and monitoring skills.  Know principle of safety.  Adhere to instruction perfectly including physical activity, weight control, smoking cessation…. etc.  Compliance to primary health care visiting.  Periodic visits to the CR clinic and contacts with the team.  Ensure compliance with prescribed medications.  Control risk factors of cardiovascular (diabetic, hypertension, limiting alcohol intake, healthy weight and food, Cholesterol management, control psychological status …etc.) 3. Conclusion This guideline provides evidence-based documents to help and guide clinical decision-making during CR in all phases of CR. Furthermore, this guideline is sufficient to activate CR program including 3 phases in health facilities. The cardiac center can use this guideline as reference statement for CR team in practicing their tasks in CR. References 1. Tash, A. A., & Al-Bawardy, R. F. (2023). Cardiovascular disease in Saudi Arabia: Facts and the way forward. Journal of the Saudi Heart Association, 35(2), 148–162. https://doi.org/10.37616/2212-5043.1336 2. Balady, G. J., Ades, P. A., Comoss, P., Limacher, M., Pina, I. L., Southard, D., & Bazzarre, T. (2000). Core components of cardiac rehabilitation/secondary prevention programs: A statement for healthcare professionals. Circulation, 102(9), 1069–1073. 3. Wenger, N. K., Froelicher, E. S., Smith, L. K., et al. (1995). Cardiac rehabilitation: Clinical practice guideline No. 17. Rockville, MD: U.S. Department of Health and Human Services, AHCPR publication No. 96-0672. 4. Shepard, D. S., Stason, W. B., & Suaya, M. J. (2011). Literature review of cardiac rehabilitation. Lifestyle Modification to Control Heart Disease: Evidence and Policy, 103. 5. Pasquali, S. K., Alexander, K. P., & Peterson, E. D. (2001). Cardiac rehabilitation in the elderly. American Heart Journal, 142(5), 748–755. 6. Shephard, R. J., & Franklin, B. (2001). Changes in the quality of life: A major goal of cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention, 21(4), 189–200. 7. Taylor, R. S., Brown, A., Ebrahim, S., Jolliffe, J., Noorani, H., Rees, K., ... & Oldridge, N. (2004). Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis. American Journal of Medicine, 116(10), 682–692. 8. Linden, W., Stossel, C., & Maurice, J. (1996). Psychosocial interventions for patients with coronary artery disease: A meta-analysis. Archives of Internal Medicine, 156, 745–752. 9. Anderson, L., Oldridge, N., Thompson, D. R., Zwisler, A. D., Rees, K., Martin, N., & Taylor, R. S. (2016). Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis. Journal of the American College of Cardiology, 67(1), 10. Ades, P. A., Keteyian, S. J., Balady, G. J., Houston-Miller, N., Kitzman, D. W., Mancini, D. M., & Rich, M. W. (2013). Cardiac rehabilitation exercise and self-care for chronic heart failure. JACC: Heart Failure, 1(6), 540–547. 11. Marchionni, N., Fattirolli, F., Fumagalli, S., Oldridge, N., Del Lungo, F., Morosi, L., ... & Masotti, G. (2003). Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: Randomized controlled trial. Circulation, 107(17), 2201–2206. 12. McKelvie, R. S., Teo, K. K., Roberts, R., McCartney, N., Humen, D., Montague, T., ... & Yusuf, S. (2002). Effects of exercise training in patients with heart failure: The EXERT trial. American Heart Journal, 144(