Cardiac rehabilitation coverage and program characteristics in Latin America and the Caribbean: Comparisons from the ICCPR’s 2025 Global Audit Update

Information from the abstract

INTRODUCTION: Cardiac rehabilitation (CR) is a proven, cost-effective secondary prevention intervention. Latin America and the Caribbean (LAC) bears a disproportionate burden of cardiovascular diseases yet limited CR availability. This Global Audit aimed to characterize CR coverage and delivery (access, staffing, core components, dose) in LAC, comparing findings with ICCPR's 2016 Audit and current global data. METHODS: Between May-September 2025, any phase II CR programs in all 35 LAC countries were identified through local Societies and surveyed (REDCap). Ischemic heart disease incidence was extracted from the Global Burden of Disease study 2023 estimates to reflect CR need, and juxtaposed with annual program volume data. RESULTS: CR was available in 25 (71.4%) LAC countries, comprising 337 programs-a 32.2% increase from 2016. Responses were received from 255 programs in 19 (76.5%) countries with CR. Based on need, the total estimated service shortfall across the region was 635,945 patients/year, with a median of 2.9% coverage/country. Systematic CR referral was infrequent (6.3%), except in Chile. Fewer patients were paying out-of-pocket, but were paying more where they were. Using purchasing power parity, delivery costs per program were significantly lower in LAC than globally (p

Why this record is monitored

This record has an Impact Signal of 86/100 based on recency, source, collaboration, and bibliographic signals. It prioritizes monitoring and is not a judgment of research quality.

Related topics: Cardiac Health and Mental Health · Stroke Rehabilitation and Recovery · Health Promotion and Cardiovascular Prevention