• Primary Objective: To evaluate the effects of complementary exercise protocols in cardiac rehabilitation (CR), such as inspiratory muscle training (IMT), by assessing inspiratory muscle strength.
• Secondary Objectives: To assess functional capacity, quality of life (QoL), and pulmonary function.

Inclusion Criteria:

- Patient meeting the conditions of the permanent life support agreement following hospitalization for a cardiac condition such as: acute myocardial infarction; coronary surgery; therapeutic percutaneous endovascular intervention on the coronary arteries, under medical imaging guidance; therapeutic percutaneous endovascular intervention on the heart, under medical imaging guidance; surgery for congenital or acquired heart malformation; surgery for valvular lesion; heart transplantation; resistant angina (to be specified by detailed history, medical history, and technical examinations, justifying multidisciplinary care); cardiomyopathy with left ventricular dysfunction (to be specified by detailed history, medical history, and technical examinations, justifying multidisciplinary care).

• Patient aged between 18 and 80 years.
• Patient capable of giving informed consent.
• Patient registered for permanent life support at the CuSL.
• Patient capable of understanding instructions in French. - Patient with prior medical consent and clinically stable.

Exclusion Criteria:

• - Minor (<18 years old).
• Pregnant woman.
• Patient unable to provide informed consent.
• Patient with cognitive, neurological, or orthopedic limitations.
• Patient with mobility or musculoskeletal difficulties incompatible with physical activity.
• Clinical instability.