Cardiovascular Prevention and Rehabilitation for Ischaemic Non-Obstructive Coronary Artery Disease: Implementation Considerations From a Survey of UK Health Professionals.
Simon Nichols, Susan Dawkes, Aynsley Cowie and 3 others
PMID 40538017WHAT IT FOUND
UK cardiac rehabilitation professionals thought people with INOCA should receive cardiac rehabilitation, but few said their service had capacity or enough knowledge.
Referrals were often ad hoc, and many wanted training.
Key findings
01Most respondents believed people with INOCA would benefit from CPR, but few believed their service had capacity to assess or treat them.
02Only 31.4% of respondents believed they had enough knowledge about INOCA to provide effective CPR, and 71.2% of those who had previously provided CPR wanted additional training.
0344 of 67 respondents reported most INOCA referrals were ad hoc rather than through a formal referral pathway.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Convenience sampling was used, so the opinions of these healthcare professionals may not represent all UK CPR programmes. The survey was exploratory and did not use hypothesis testing or inferential statistics to compare groups. Knowledge, confidence and service capacity were self-reported by healthcare professionals, not measured in patients. Responses could not be linked to individual CPR programmes, so a few programmes may have contributed many responses. Partially completed surveys were included, and some questions had different numbers of respondents. Qualitative free-text coding was done by one researcher, which can introduce interpretation bias. Patient or public perspectives were not part of the survey participants.
Declared interests
The work was funded by the British Heart Foundation Clinical Research Collaborative, and the funder took no part in the design or conduct of the study. Authors reported interests in an attached ICMJE conflicts of interest disclosure form.
The easy way to misread this
Do not read this as evidence that CPR improves outcomes for people with INOCA. The survey reports healthcare professionals' opinions, knowledge and service capacity, not patient outcomes.