Another group in London, Ontario conducted a feasibility study evaluating the use of comprehensive cardiac rehabilitation (CCR) in patients within 12 months of TIA or mild, non-disabling stroke.15 In this prospective cohort study, 100 patients were enrolled and 80 patients completed the CCR with group-based or home-based progressive aerobic training for six months.15 Diet counseling in individual or group-based sessions emphasized the Mediterranean diet.15 Patients were screened for depression and referred to a psychologist for anxiety, depression, and smoking cessation as needed.15 Medications were optimized to meet AHA recommendations regarding use of aspirin or anti-platelet agent, angiotensin converting enzyme inhibitor, statin, and blood pressure management with diuretic.15 The results of the feasibility study were promising with improvements in cardiopulmonary fitness, blood lipid profile, BMI, weight, waist circumference, smoking status, and Duke Treadmill Score.15 Although the study was not powered to evaluate morbidity of stroke/TIA and mortality, the recurrence of stroke was 0% among patients who completed intake/outtake and 4.6% including patients who left CCR.15