LETTERS FROM READERS
A Look at the Reality of Cardiovascular Rehabilitation in Argentina

Una mirada a la realidad de la rehabilitación cardiovascular en Argentina

  • NICOLÁS MATIAS D’AMELIO, 12 ORCID logo 
  • 1 Physician of the Pulmonary Hypertension Program at Hospital Gral. de Agudos Dr. JM Ramos Mejía, Autonomous City of Buenos Aires
  • 2 Technical Secretary of the SAC Heart Failure and Pulmonary Hypertension Council
 
 

Cardiovascular rehabilitation (CVR) is a proven practice within the continuum of secondary cardiovascular prevention, with a proven impact on reducing mortality and readmissions.(1) Patients who adhere to rehabilitation programs experience improvements in their functional capacity and quality of life, as well as an increased ability to work and/or remain active, achieve greater autonomy, and, consequently, reduce the need for special care, disability, and loss of social productivity, all of which translate into lower workplace absenteeism, lower social costs, and greater economic participation. (2-4)

The study published in the Argentine Journal of Cardiology titled “RENACER-CV: National Registry of Cardiovascular Rehabilitation Centers in Argentina” by Ignacio Davolos et al. (5) sought to provide accurate information on the organizational characteristics, geographic coverage, human resources, care modalities, and equipment of CVR centers throughout the country. This is a clear example of how SAC’s councils—in this case, the Exercise Cardiology Council—as well as its research and health policy divisions, can help identify opportunities for improvement and regional development at the national level.

The results obtained from the registry show an uneven distribution of CVR centers across Argentina, with a strong concentration in the Province of Buenos Aires and the Autonomous City of Buenos Aires, highlighting a regional inequity that limits effective access to this intervention and demonstrating a significant structural barrier for large segments of the population.

In addition to the afore mentioned geographic limitations, the registry revealed serious economic and health coverage shortcomings that emerge as an additional factor contributing to inequity, demonstrating that the lack of health insurance is one of the main factors limiting participation in CVR programs.

As a result, it is imperative to highlight the research group’s efforts to gather accurate, highquality information on the current state of CVR programs in Argentina. It is a call for the political spectrum to act from the perspective of health planning, using the available information to guide public policy decisions and management of the Argentine health system.

Ethical considerations

Not applicable.

Conflicts of interest

None declared. (See authors' conflict of interests forms on the web).

 
 

REFERENCES

1. Brown TM, Pack QR, Aberegg E, Brewer LPC, Ford YR, Forman DE, et al. Core Components of Cardiac Rehabilitation Programs: 2024 Update: A Scientific Statement From the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2024;150:e328-47. https://doi.org/10.1161/CIR.0000000000001289

2. Shields GE, Wells A, Doherty P, Heagerty A, Buck D, Davies LM. Cost-effectiveness of cardiac rehabilitation: a systematic review. Heart 2018;104:1403-10. https://doi.org/10.1136/heartjnl-2017-312809

3. Taylor RS, Fredericks S, Jones I, Neubeck L, Sanders J, De Stoutz N, et al. Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, the European Association of Preventive Cardiology, and the International Council of Cardiovascular Prevention and Rehabilitation. Eur Heart J 2023;44:2515-25. https://doi.org/10.1093/eurheartj/ehad225

4. Gabrys L, Soff J, Thiel C, Schmidt C, Swart E, Peschke D. Exercise-Based Cardiac Rehabilitation: Secondary Data Analyses of Mortality and Working Capacity in Germany, 2010-2017. Sports Med Open 2021;7:88. https://doi.org/10.1186/s40798-021-00381-z

5. Dávolos I, Paz I, Balsano F, Novielli D, Cohendoz S, Llompart D, et al. RENACER-CV: National Registry of Cardiovascular Rehabilitation Centers in Argentina. Rev Argent Cardiol 2026;94:116-23. https://doi.org/10.7775/rac.es.v94.i2.20991


AUTHORS' REPLYS

We thank Dr. D'Amelio for reviewing our paper and for his comments.

We agree that cardiovascular rehabilitation is a fundamental strategy for secondary prevention and that the regional disparities and access barriers identified by RENACER-CV represent significant challenges for cardiovascular care in Argentina.

One of the registry's main objectives was precisely to describe the current state of cardiovascular rehabilitation programs in our country, providing evidence to highlight gaps in care and guide future actions aimed at improving access to and coverage of this intervention.

We appreciate the interest shown in our work and agree on the importance of continuing to generate local data that contributes to the development of health policies and organizational strategies aimed at more equitable cardiovascular care.

Ignacio Dávolos, Ivana Paz, Facundo Balsano, et al.

 
 

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