(Class I, Level of Evidence: B) ACC/AHA Guidelines for the Evaluation and Management of Chronic Heart Failure in the Adult112 1. Exercise training is beneficial as an adjunctive approach to improve clinical status in ambulatory patients with current or prior symptoms of HF and reduced LVEF. (Class I, Level of Evidence: B) AHA Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women: 2007 Update113 1. A comprehensive risk-reduction regimen, such as cardiovascular or stroke rehabilitation or a physician-guided home- or community-based exercise training program, should be recommended to women with a recent acute coronary syndrome or coronary intervention, new-onset or chronic angina, recent cerebrovascular event, peripheral arterial disease (Class I, Level of Evidence: A), or current/prior symptoms of heart failure and an LVEF 40%. (Class I, Level of Evidence: B) ACC/AHA/SCAI 2007 Focused Update of the Guidelines for Percutaneous Coronary Intervention114 1. Advising medically supervised programs (cardiac rehabilitation) for high-risk patients (eg, recent acute coronary syndrome or revascularization, heart failure) is recommended. (Class I, Level of Evidence: B) ACC indicates American College of Cardiology; AHA, American Heart Association; AMI, acute myocardial infarction; CABG, coronary artery bypass graft; CR, cardiac rehabilitation; LVEF, left ventricular ejection fraction; MI, myocardial infarction; PCI, percutaneous coronary intervention; SCAI, the Society for Cardiac Angiography and Interventions; and UA/NSTEMI, unstable angina/non ST-segment elevation myocardial infarction. Appendix A. Continued 28 Inhibitor at Discharge Receptor Inhibitor Prescribed at Discharge Measure description: Percentage of patients, age 18 y, hospitalized with AMI who are prescribed an appropriate P2Y12 receptor inhibitor at hospital discharge. 