Cardiac rehabilitation for the transient ischaemic attack (TIA) and stroke population? Using the Medical Research Council (MRC) guidelines for developing complex health service interventions to develop home-based cardiac rehabilitation for TIA and ‘minor’ stroke patients

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Abstract

What did I do?
I developed a novel home-based rehabilitation programme, including ‘The Healthy Brain Rehabilitation Manual’, for patients with a first transient ischaemic attack (TIA) or ‘minor’ stroke of atherosclerotic origin, using the core components of home-based cardiac rehabilitation (CR) and conducted a pilot randomised controlled trial (RCT) to evaluate its effectiveness.

Why did I do it?
CR is an effective form of secondary prevention for cardiovascular disease. CR after myocardial infarction results in reduced reinfarction risk and all-cause mortality.1 However, despite sharing similar pathology with coronary heart disease and the 90-day risk of further vascular events after a TIA or ‘minor’ stroke being as high as 18%,2 3 the value of CR for patients with a TIA or ‘minor’ stroke is unclear.
Original languageEnglish
Number of pages2
JournalBritish Journal of Sports Medicine
Early online date04 Sep 2018
DOIs
Publication statusEarly online date - 04 Sep 2018

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