alexa EXPERT: Did We Get Lastly the Tool | OMICS International
Open Access
Journal of Cardiac and Pulmonary Rehabilitation
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

EXPERT: Did We Get Lastly the Tool

Kinsara AJ*

Director of Cardiology Fellowship, King Saud bin Abdulaziz University for Health Sciences, COM-J, Saudi Arabia

*Corresponding Author:
Kinsara AJ
Director of Cardiology Fellowship
King Saud bin Abdulaziz University for Health Sciences
COM-J, Saudi Arabia
Tel: 966-2-624 0000, ext. 25797
Fax: 920008668
E-mail: [email protected]

Received date: May 10, 2017; Accepted date: May 23, 2017; Published date: May 29, 2017

Citation: Kinsara AJ (2017) EXPERT: Did We Get Lastly the Tool. J Card Pulm Rehabil 1:106.

Copyright: © 2017 Kinsara AJ. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Cardiac and Pulmonary Rehabilitation


A comprehensive training and decision support system (the EXPERT tool) had been recently developed. The tool integrates risk factors, types appropriate, medications and many other tools with the hope to make it easier and accessible to many healthcare providers in the field of cardiac rehabilitation.


EXPERT; Interactive algorithm; Cardiac rehabilitation


Cardiac rehabilitation was given class 1 indication but still under prescribed [1,2]. Many reasons lie behind including physician’s ability to prescribe the appropriate frequency, time, duration, intensity, and the concern of safety. The issue is complicated even more by having many risk factors that influence the quality and quantity of exercise. European 2016 guidelines for cardiovascular prevention had recommended 1000–2000 kcal per week of energy expenditure of and recommended that resistance exercise to compliment exercise training of moderate intensity twice per week [1]. Neuromotor training is also recommended in specific indications.

With this complexity, having different guidelines and cardiac rehabilitation (CR) of different types, the idea of a digital system was a dream that seems had come to be a fact, and the so called EXPERT had been recently published [3]. European Association of Preventive Cardiology Exercise Prescription in Everyday Practice and Rehabilitative Training tool (EXPERT) Group started this tool by defining the diagnostic criteria for different cardiac diseases, risk factors, and exercise intervention goals. The tool had also incorporated in addition to patient characteristics, cardiovascular disease/risk factors, common cardiac medications, and its adverse events that might occurred during exercise. An interactive algorithm was generated to prescribe cardiac exercise based on the above model by 33 experts in the rehabilitation and three computer specialists from 11 European countries. The algorithm developed over 3-year period that addresses different ranges of exercise intensity (Figure 1).


Figure 1: Diagram explaining the flow of EXPERT.

It was noticed that the prescribed exercise intensities by the clinicians were very often not match the recommended intensity, strength-training exercises, and additional exercise training strategies were prescribed less frequently, and the rehabilitation program duration was often shorter when compared to the EXPERT tool advice. EXPERT validated among 18 cardiologists and physiotherapists expert in CV rehabilitation who agreed to propose exercise training modalities for 5 simulated cases.

It will be in addition, a tool to collect large amount of data on exercise prescription and behavioral changes in cardiovascular risk factors from different countries who might use the system in their daily clinical practice and benefited from its unique decision support system.

What is left is to study the benefits in daily practice and to see if it is a cost effective tool. The cost saving might become more pronounced when it is applied on outpatient/home-based CR programs.

Another model but uses a human factor is the Project Leonardo that evaluated the introduction of "care manager" nurses, trained in this specialized role into the primary healthcare system. The central targeted 1,160 patients living with cardiovascular disease, diabetes, heart failure, and/or at risk of cardiovascular disease to take a more active role in their health. With the support of dedicated software for data collection and care management decision making, Leonardo showed the positive impact of integrated software on patient health in the primary health care system [4].


Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Recommended Journals

Article Usage

  • Total views: 401
  • [From(publication date):
    June-2017 - Jul 19, 2018]
  • Breakdown by view type
  • HTML page views : 347
  • PDF downloads : 54

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7