An integrated and coordinated approach to preventing recurrent coronary heart disease events in Australia

• Implementing existing knowledge about cardiac rehabilitation (CR) and heart failure management could markedly reduce mortality after acute coronary syndromes and revascularisation therapy.

• Contemporary CR and secondary prevention programs are cost-effective, safe and beneficial for patients of all ages, leading to improved survival, fewer revascularisation procedures and reduced rehospitalisation.

• Despite the proven benefits attributed to these secondary prevention interventions, they are not well attended by patients.

• Modern programs must be flexible, culturally safe, multifaceted and integrated with the patient’s primary health care provider to achieve optimal and sustainable benefits for most patients.