Abstract
The presented case report examines the effects of cardiac rehabilitation (CR) on a 69-year-old transgender woman with coronary artery disease (CAD). The patient engaged in 19 CR sessions without experiencing any adverse effects. Pre- to post-CR assessments revealed a worsening of body composition, characterized by an approximate 3% increase in fat mass and a 4% reduction in lean mass. In contrast, peak oxygen uptake and exercise time increased by 6% and 9%, respectively. This case report highlights the need for additional targeted strategies to improve both body composition and cardiorespiratory fitness in transgender woman undergoing CR for coronary artery disease management.