{
  "release_id": "5dcd9b263fe17744",
  "id": "cardio:reading-path-living-well",
  "owner": "cardio",
  "kind": "reading_path",
  "slug": "reading-path-living-well",
  "name": "Living well with heart disease",
  "aliases": [],
  "atlases": [
    "cardio"
  ],
  "summary_plain": "A suggested order for reading this atlas for an adult who has had a heart event or procedure, or has been told to look after their heart, and for their family. It starts with everyday heart-healthy steps, moves to activity and eating patterns, then to cardiac rehabilitation and why many eligible people do not take part. It is not medical advice.",
  "summary_technical": "Nine steps. Each step restates what the linked page's records say and adds no claim of its own. Claims keep their own context on their own pages: the cardiac rehabilitation review covers adults with coronary heart disease, the dietary trials cover people at risk or with blood pressure above optimal, and none of them covers pregnancy.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "cardio": {
      "system": [
        "heart"
      ],
      "condition-area": [
        "acute-care-and-long-term-living",
        "risk-and-prevention"
      ]
    }
  },
  "payload": {
    "audience": "Adults who have had a heart event or procedure, or who have been told to look after their heart, and their families. It does not give personal medical advice and does not cover pregnancy.",
    "steps": [
      {
        "entity": "cardio:heart-healthy-living",
        "explanation": "A US federal heart institute groups everyday heart care into a handful of topics: knowing your risk, checking blood pressure and cholesterol, eating heart-healthy foods, keeping a healthy weight, being active, managing stress, quitting smoking and sleeping well. This page lists the topics and does not measure how much each one helps."
      },
      {
        "entity": "cardio:lifes-essential-8",
        "explanation": "A national heart association scores heart health from eight measures, each out of 100 points, and averages them for an overall score. The score is that association's own construct; this atlas does not record how well it predicts outcomes."
      },
      {
        "entity": "cardio:physical-inactivity",
        "explanation": "A global health agency lists not being physically active among the risk factors for high blood pressure, and a US survey put adult inactivity at 29.1% in 2015 to 2016. MedlinePlus says regular exercise lowers the risk of many long-term diseases."
      },
      {
        "entity": "cardio:dash-eating-plan",
        "explanation": "The DASH eating plan stresses vegetables, fruits and whole grains and limits saturated fat and sugary drinks. In a controlled feeding trial it lowered systolic blood pressure at each of three sodium levels, and less sodium lowered it further."
      },
      {
        "entity": "cardio:mediterranean-diet",
        "explanation": "In a corrected report of a Spanish trial, people at high cardiovascular risk who got free extra-virgin olive oil or nuts with a Mediterranean diet had fewer major cardiovascular events than people advised to eat less fat. The original report was withdrawn after some participants were found not to have been randomized."
      },
      {
        "entity": "cardio:cardiac-rehabilitation",
        "explanation": "Cardiac rehabilitation is a supervised program of exercise training, education and counseling after a heart event or procedure. A Cochrane review found fewer heart attacks and hospital admissions at 6 to 12 months in people with coronary heart disease, with some other results uncertain."
      },
      {
        "entity": "cardio:bottleneck-low-cardiac-rehab-participation",
        "explanation": "In a large Medicare study, only about 1 in 4 eligible people took part in cardiac rehabilitation, and fewer women and fewer Hispanic and non-Hispanic Black beneficiaries did. A question you could take to a visit is whether cardiac rehabilitation has been offered to you. It is a question, not advice."
      },
      {
        "entity": "cardio:idea-home-based-cardiac-rehab",
        "explanation": "Home-based programs, with remote coaching, are one idea to reach people who cannot attend a center. A scientific statement says they may be a reasonable option for selected clinically stable low- to moderate-risk patients, and that more research is needed."
      },
      {
        "entity": "cardio:million-hearts-cardiac-rehab-change-package",
        "explanation": "This Million Hearts toolkit is written for hospital teams who want to enroll more eligible patients. It is useful background if you want to ask a hospital what it does to refer patients to cardiac rehabilitation."
      }
    ]
  },
  "content_digest": "c7e1c670ea66b989798660598852d69ac956336c6b2f4ca8dc8b5728dcea1db9",
  "review": {
    "content_digest": "c7e1c670ea66b989798660598852d69ac956336c6b2f4ca8dc8b5728dcea1db9",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "related_to",
        "label": "Step on cardiac rehabilitation",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "cardio:cardiac-rehabilitation",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      },
      {
        "predicate": "related_to",
        "label": "Step on everyday heart-healthy steps",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "cardio:heart-healthy-living",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": [
      {
        "predicate": "related_to",
        "label": "Related to",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "cardio:reading-path-after-heart-attack",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ]
  },
  "page_path": "reading-paths/reading-path-living-well/",
  "context_path": "api/v1/context/cardio--reading-path-living-well.md"
}
