Identification and modification of risk factors for cardiovascular disease can be carried out effectively in the workplace. Coronary artery disease is multifactorial. A cardiac exercise program conducted by the occupational health nurse should serve as a catalyst for modification of all coronary risk factors. Employers have begun to value and support worksite cardiac rehabilitation programs because of the benefits of health care cost avoidance, increased attendance and productivity at work, and improved employee relations. It is the responsibility of the occupational health nurse and other health care providers to see that this continues.