Invited ReviewUnderutilization of Cardiac Rehabilitation in Women BARRIERS AND SOLUTIONSKhadanga, Sherrie MD; Gaalema, Diann E. PhD; Savage, Patrick MS; Ades, Philip A. MD Author Information Department of Medicine, Division of Cardiology, University of Vermont, Burlington (Drs Khadanga and Ades and Mr Savage); Departments of Psychiatry and Psychology, University of Vermont, Burlington (Dr Gaalema); and Vermont Center on Behavior and Health, University of Vermont, Burlington (Drs Gaalema and Ades). Correspondence: Sherrie Khadanga, MD, Cardiac Rehabilitation and Prevention, University of Vermont Medical Center, 62 Tilley Dr, S. Burlington, VT 05403 ([email protected]). The authors declare no conflicts of interest. Journal of Cardiopulmonary Rehabilitation and Prevention 41(4):p 207-213, July 2021. | DOI: 10.1097/HCR.0000000000000629 Buy Metrics AbstractIn Brief Purpose: Despite the known benefits of cardiac rehabilitation (CR), it remains underutilized particularly among women. The aim of this review was to provide an overview regarding women in CR, addressing barriers that may affect enrollment and attendance as well as to discuss the training response and methods to optimize exercise-related benefits of CR. Review Methods: The review examines original studies and meta-analyses regarding women in CR. Summary: Women are less likely to engage in CR compared with men, and this may be attributed to lack of referral or psychosocial barriers on the part of the patient. Furthermore, despite having lower levels of fitness, women do not improve their fitness as much as men in CR. This review summarizes the current literature and provides recommendations for providers regarding participation and adherence as well as optimal methods for exercise training for women in CR. This review summarizes the current literature pertaining to women in cardiac rehabilitation (CR) with particular attention to participation rates and exercise training response. Specific interventions can help with enrollment and adherence. Additionally, the exercise prescription for women in CR can be designed to optimize the benefits of CR. © 2021 Wolters Kluwer Health, Inc. All rights reserved.