Clinical and organizational evidence of the efficacy and effectiveness from cardiac rehabilitation: an update


  • Raffaele Griffo | ASL 3 “Genovese”, U.O. Cardiologia Riabilitativa, Ospedale La Colletta, Arenzano (GE), Italy.
  • Guido Gigli ASL 4 “Chiavarese”, S.C. Cardiologia Riabilitativa, Ospedale di Sestri Levante (GE), Italy.
  • Daniele Bertoli ASL 5 “Spezzina”, U.O. Cardiologia Clinica e Riabilitativa, Ospedale S. Bartolomeo, Sarzana (SP), Italy.
  • Luca Corsiglia ISCC, Istituto Cardiovascolare Camogli, Cardiologia Riabilitativa, Ruta di Camogli (GE), Italy.
  • Flavia Emanuelli ASL 3 “Genovese”, Direzione Sanitaria, Genova, Italy.
  • Palamede Colotto ASL 5 “Spezzina”, Direzione Sanitaria, La Spezia, Italy.
  • Giovanni Andreoli IST, Istituto Nazionale per la Ricerca sul Cancro, Direzione Sanitaria, Genova, Italy.
  • Gaddo Flego Agenzia Regionale Sanità (ARS Regione Liguria), Genova, e ASL 4 “Chiavarese”, Chiavari, Italy.


The increasing evidence on the favourable cost/effectiveness impact of the comprehensive cardiac rehabilitation program for the treatment of a wide spectrum of cardiovascular conditions have imposed to healthcare services a major attention on a critical analysis of the results in different clinical indications and delivery organisations. The Regional Health Agency of Liguria, in the occasion of drawing up regional guidelines directed to define the clinical indications and the effectiveness of the cardiac rehabilitation delivery model (in-patients, out-patients and home-based) and its requisites, indications and procedures, has updated the reference guidelines (PLNG and SIGN) with the evidence provided by the more recent literature, focusing its attention on the clinical and, in particular, organizational effectiveness. The document, on the base of these evidences, provides some effective proposals and some organizational advices.



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cardiac rehabilitation, delivery model, effectiveness
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How to Cite
Griffo, Raffaele, Guido Gigli, Daniele Bertoli, Luca Corsiglia, Flavia Emanuelli, Palamede Colotto, Giovanni Andreoli, and Gaddo Flego. 2016. “Clinical and Organizational Evidence of the Efficacy and Effectiveness from Cardiac Rehabilitation: An Update”. Monaldi Archives for Chest Disease 72 (2).

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