When should a referral to outpatient cardiac rehab be considered for heart failure patients?

Referral to outpatient cardiac rehab is recommended for heart failure patients when their left ventricular ejection fraction (LVEF) is less than or equal to 35% in the absence of planned or recent interventions. This threshold is significant because an LVEF of 35% or lower typically indicates a more severe degree of heart failure, which can lead to challenges in daily activities and increased risk for adverse events.

Outpatient cardiac rehabilitation can help these patients manage their condition, improve their functional capacity, and enhance their overall quality of life through structured exercise programs and education. This approach is crucial for managing heart failure symptoms and preventing hospitalizations. In cases where recent interventions have occurred or where the LVEF is higher than 35%, the potential benefits and necessary precautions would differ, making the specific referral criteria pivotal. Thus, the decision to refer patients with a low LVEF aligns with evidence-based practices aimed at improving outcomes for those at higher risk.