Back to Search
Start Over
The role of cardiac rehabilitation in improving cardiovascular outcomes.
- Source :
-
Nature reviews. Cardiology [Nat Rev Cardiol] 2022 Mar; Vol. 19 (3), pp. 180-194. Date of Electronic Publication: 2021 Sep 16. - Publication Year :
- 2022
-
Abstract
- Cardiac rehabilitation is a complex intervention that seeks to improve the functional capacity, wellbeing and health-related quality of life of patients with heart disease. A substantive evidence base supports cardiac rehabilitation as a clinically effective and cost-effective intervention for patients with acute coronary syndrome or heart failure with reduced ejection fraction and after coronary revascularization. In this Review, we discuss the major contemporary challenges that face cardiac rehabilitation. Despite the strong recommendation in current clinical guidelines for the referral of these patient groups, global access to cardiac rehabilitation remains poor. The COVID-19 pandemic has contributed to a further reduction in access to cardiac rehabilitation. An increasing body of evidence supports home-based and technology-based models of cardiac rehabilitation as alternatives or adjuncts to traditional centre-based programmes, especially in low-income and middle-income countries, in which cardiac rehabilitation services are scarce, and scalable and affordable models are much needed. Future approaches to the delivery of cardiac rehabilitation need to align with the growing multimorbidity of an ageing population and cater to the needs of the increasing numbers of patients with cardiac disease who present with two or more chronic diseases. Future research priorities include strengthening the evidence base for cardiac rehabilitation in other indications, including heart failure with preserved ejection fraction, atrial fibrillation and congenital heart disease and after valve surgery or heart transplantation, and evaluation of the implementation of sustainable and affordable models of delivery that can improve access to cardiac rehabilitation in all income settings.<br /> (© 2021. Springer Nature Limited.)
- Subjects :
- Humans
Pandemics
Quality of Life
SARS-CoV-2
COVID-19
Cardiac Rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1759-5010
- Volume :
- 19
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Nature reviews. Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 34531576
- Full Text :
- https://doi.org/10.1038/s41569-021-00611-7