{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T04:04:12Z","timestamp":1758945852714,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"BTAA","award":["2023"],"award-info":[{"award-number":["2023"]}]},{"DOI":"10.13039\/100007270","name":"University of Michigan","doi-asserted-by":"publisher","award":["2023"],"award-info":[{"award-number":["2023"]}],"id":[{"id":"10.13039\/100007270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Therapeutics"],"published-print":{"date-parts":[[2023,9,8]]},"abstract":"<jats:p>Introduction. Although a recent joint society scientific statement (the American Association of Cardiovascular Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology) suggests home-based cardiac rehab (CR) is appropriate for low- and moderate-risk patients, there are no paradigms to define such individuals with coronary heart disease. Methods. We reviewed a decade of data from all patients with coronary heart disease enrolled in a single CR center (University of Michigan) to identify the prevalence of low-risk factors, which may inform on consideration for participation in alternative models of CR. Low-risk factors included not having any of the following: metabolic syndrome, presence of implantable cardioverter defibrillator or permanent pacemaker, active smoking, prior stroke, congestive heart failure, obesity, advanced renal disease, poor exercise capacity, peripheral arterial disease, angina, or clinical depression (MI\u2019S SCOREPAD). We report on the proportion of participants with these risk factors and the proportion with all of these low-risk factors. Results. The mean age of CR participants (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>n<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>1984<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>) was 63 years; 25% were women, and 82% were non-Hispanic White. The mean number of low-risk factors was 8.5, which was similar in the 2011-2012 and 2018-2019 cohorts (8.5 vs. 8.3, respectively, <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mn>0.08<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). Additionally, 9.3% of the 2011-2012 cohort and 7.6% of the 2018-2019 cohort had all 11 of the low-risk factors. Conclusion. In this observational study, we provide a first paradigm of identifying factors among coronary heart disease patients that may be considered low-risk and likely high-gain for participation in alternative models of CR. Further work is needed to track clinical outcomes in patients with these factors to determine thresholds for enrolling participants in alternative forms of CR.<\/jats:p>","DOI":"10.1155\/2023\/7230325","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T21:50:06Z","timestamp":1694209806000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Identifying Factors for Low-Risk Participation in Alternative Cardiac Rehabilitation Models for Patients with Coronary Heart Disease Using MI\u2019S SCOREPAD"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5463-4533","authenticated-orcid":true,"given":"Eric J.","family":"Brandt","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6884-9479","authenticated-orcid":true,"given":"Joshua","family":"Garfein","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0983-5947","authenticated-orcid":true,"given":"Chih-Wen","family":"Pai","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Bryant","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Kline-Rogers","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Fink","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0290-7154","authenticated-orcid":true,"given":"Melvyn","family":"Rubenfire","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.180945"},{"issue":"16","key":"2","first-page":"1814","article-title":"ACC\/AHA clinical performance and quality measures for cardiac rehabilitation: a report of the American College of Cardiology\/American Heart Association task force on performance measures","volume":"71","author":"R. J. Thomas","year":"2018","journal-title":"Circulation: Cardiovascular Quality and Outcomes"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2017.02.005"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000447"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700048017"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e3181f688e1"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000725"},{"key":"8","volume-title":"Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs","author":"American Association of Cardiovascular and Pulmonary Rehabilitation","year":"2020","edition":"6th"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.03.017"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2021.11.005"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2021-320459"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.23.07773-0"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.04.016"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3182285a81"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S175858"}],"container-title":["Cardiovascular Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cdtp\/2023\/7230325.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cdtp\/2023\/7230325.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cdtp\/2023\/7230325.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T21:50:14Z","timestamp":1694209814000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cdtp\/2023\/7230325\/"}},"subtitle":[],"editor":[{"given":"Jiang-Shan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,9,8]]},"references-count":15,"alternative-id":["7230325","7230325"],"URL":"https:\/\/doi.org\/10.1155\/2023\/7230325","relation":{},"ISSN":["1755-5922","1755-5914"],"issn-type":[{"type":"electronic","value":"1755-5922"},{"type":"print","value":"1755-5914"}],"subject":[],"published":{"date-parts":[[2023,9,8]]}}}