# Home-based cardiac rehabilitation Idea · id `cardio:idea-home-based-cardiac-rehab` · Cardiovascular Atlas · release `5dcd9b263fe17744` (public) > General information from published sources, not medical advice, and not reviewed by clinicians. Check the cited source before relying on anything here. The atlas's own text and curation may be reused under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0, https://creativecommons.org/licenses/by-nc/4.0/): credit the atlas, and do not use it commercially. See the atlas About page. Text quoted from a source stays under that source's own terms, given as the source's reuse\_basis. The atlas's reuse terms do not cover it. The downloads list each quotation with its source in third\_party\_quotations. Also called: HBCR Browse, organ or system: Heart Browse, condition area: Acute care and long-term living ## In plain language The idea is to offer cardiac rehabilitation at home, with remote coaching and indirect supervision of exercise, instead of only in a supervised center. A joint scientific statement from rehabilitation and cardiology societies says home-based programs have been used in the United Kingdom, Canada and other countries, while most US healthcare organizations have little to no experience with them. Earlier randomized trials gave low- to moderate-strength evidence that home-based and center-based programs can achieve similar clinical outcomes over 3 to 12 months. The statement says home-based rehabilitation may be a reasonable option for selected clinically stable low- to moderate-risk patients who are eligible but cannot attend a center-based program, and it asks for more research in older adults, women and other understudied groups. ## Technical summary Hypothesis page, maturity set to tested because the statement reviews earlier randomized trials, but the statement rates their evidence low to moderate in strength. The source is a PubMed abstract of a joint scientific statement from the cardiovascular and pulmonary rehabilitation association AACVPR, the American Heart Association and the American College of Cardiology (Circulation, 2019), recorded in the claim on this page; the full statement was not read, and no home-based trial is recorded separately here. ## Claims, with the population each applies to ## Context: Selected clinically stable low- to moderate-risk patients eligible for cardiac rehabilitation who cannot attend a center-based program Recipient: Adult; Population: Selected clinically stable low- to moderate-risk patients who are eligible for cardiac rehabilitation but cannot attend a traditional center-based program (the statement's conclusion). The statement says the evidence for older adults, women, underrepresented minority groups and other higher-risk and understudied groups needs more research.; Care setting: Home-based programs that rely on remote coaching with indirect exercise supervision, provided mostly or entirely outside the traditional center-based setting.; Geography: United States focus: the statement aims to guide delivery in the United States, and notes use in the United Kingdom, Canada and other countries.; Life stage: Adults; Follow-up: Earlier randomized trials reported 3- to 12-month clinical outcomes. ### A scientific statement from the cardiovascular and pulmonary rehabilitation association AACVPR, the American Heart Association and the American College of Cardiology says previous randomized trials have generated low- to moderate-strength evidence that home-based and center-based cardiac rehabilitation can achieve similar improvements in 3- to 12-month clinical outcomes. It concludes that home-based cardiac rehabilitation may be a reasonable option for selected clinically stable low- to moderate-risk patients who are eligible for cardiac rehabilitation but cannot attend a traditional center-based program. It says additional research is needed to clarify, strengthen and extend the evidence for key subgroups, including older adults, women, underrepresented minority groups and other higher-risk and understudied groups. - Category: Description - Evidence stage: Guidance - Certainty: Certainty not assessed - Applies to: Recipient: Adult; Population: Selected clinically stable low- to moderate-risk patients who are eligible for cardiac rehabilitation but cannot attend a traditional center-based program (the statement's conclusion). The statement says the evidence for older adults, women, underrepresented minority groups and other higher-risk and understudied groups needs more research.; Care setting: Home-based programs that rely on remote coaching with indirect exercise supervision, provided mostly or entirely outside the traditional center-based setting.; Geography: United States focus: the statement aims to guide delivery in the United States, and notes use in the United Kingdom, Canada and other countries.; Life stage: Adults; Follow-up: Earlier randomized trials reported 3- to 12-month clinical outcomes. - Limitations: The statement rates the supporting evidence as low to moderate in strength and supports home-based rehabilitation only as an option for selected patients. Only the PubMed abstract was read. This is expert guidance, not a trial result. - Last checked: 2026-10-15 - Sources: 1. Supports: Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, paragraph 1, sentences 8 to 10. Retrieved 2026-10-15T13:48:14Z. Source state: Current. Snapshot hash: 826982c6fe78c5bd8a7b612fbd6af9232ad966689235ccf3f9d64e3e36ccc15b. How it applies: Evidence strength, conclusion and research needs. 2. Background: Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, paragraph 1, sentences 4 to 6. Retrieved 2026-10-15T13:48:14Z. Source state: Current. Snapshot hash: 826982c6fe78c5bd8a7b612fbd6af9232ad966689235ccf3f9d64e3e36ccc15b. How it applies: What home-based programs are and where they are used. ## Connected pages - Proposed fix: Low participation in cardiac rehabilitation among eligible patients (`cardio:bottleneck-low-cardiac-rehab-participation`) - Filed under this front: Rehabilitation and living well (`cardio:front-rehabilitation-and-living-well`) - Named in the title of the scientific statement this idea rests on: American Association of Cardiovascular and Pulmonary Rehabilitation (`cardio:aacvpr`) ## Provenance Content hash: b10bb0297fd86ab667cec9aa991cadf6b1da14c16694af4e2c0021ea43db9c36 Last substantive edit: 2026-10-15 Evidence last checked: 2026-10-15