Scientific ReviewConcordant Evidence-Based Interventions in Cardiac and Pulmonary Rehabilitation GuidelinesSmith, Sheree M. S. PhD; Chaudhary, Katrina BA; Blackstock, Felicity PhDAuthor Information Lung, Sleep and Heart Health Research Network, School of Nursing and Midwifery, Western Sydney University, Penrith, Australia (Dr Smith); Respiratory, Sleep and Environmental Health Research Academic Unit, Ingham Institute, South Western Sydney Local Health District, Liverpool, Australia (Dr Smith); Library Service, Western Sydney University, Penrith, Australia (Ms Chaudhary); and School of Health and Science, Western Sydney University, Penrith, Australia (Dr Blackstock). Correspondence: Sheree M. S. Smith, PhD, Lung, Sleep and Heart Health Research Network, School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith Sydney, NSW 2751 Australia (firstname.lastname@example.org). All authors reviewed the findings and contributed to the content, writing, drafting, and revision of the manuscript, and agreed to the final version. The authors declare no conflicts of interest. Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.jcrpjournal.com). Journal of Cardiopulmonary Rehabilitation and Prevention: January 2019 - Volume 39 - Issue 1 - p 9-18 doi: 10.1097/HCR.0000000000000359 Buy SDC Metrics AbstractIn Brief Chronic conditions such as chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) contribute to a significant burden to patients and many experience a reduction in physical functioning, psychological health, and quality of life. The sentinel symptom for COPD and CVD is breathlessness. Rehabilitation programs have been proven to reduce disease symptoms and increase levels of physical and psychological wellness. Pulmonary and cardiac rehabilitation programs have been recommended in international and national guidelines for managing COPD and CVD. Given that these programs seek to reduce breathlessness and improve the physical and psychological functioning of people with COPD and CVD, this review examines the concordant evidence-based interventions in rehabilitation guidelines. The findings of this review indicate that there was concordance in the program design, location of programs, types of health professionals involved in program delivery, assessments of patient at commencement and completion of program, and the delivery of educational topics with minor deviations that were related to disease-specific topics. Apart from disease-specific recommendations, the main divergence from rehabilitation guidelines was found to be dietary screening, inspiratory muscle training, and psychological assessments in evidence-based recommendations for cardiac and pulmonary programs. Breathlessness is the cardinal symptom experienced by patients with cardiac and respiratory diseases. Rehabilitation has been proven to reduce symptoms such as breathlessness. A synergy between cardiac and pulmonary rehabilitation programs has not been investigated and any synergy between the 2 programs may prove useful in resourcelimited health environments. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.