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Novel advances in cardiac rehabilitation

Authors :
M. E. Wittekoek
Harald T. Jørstad
T. Vromen
H. M.C. Kemps
P. M. J. C. Kuijpers
Maarten J. Cramer
Madoka Sunamura
J. M. C. van Hal
Nicole H.M.K. Uszko-Lencer
E. C. de Melker
R. W. M. Brouwers
Roderik A. Kraaijenhagen
S. F. Rodrigo
L. Hofstra
Ruud F. Spee
Source :
Netherlands Heart Journal
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

Cardiac rehabilitation (CR) has evolved as an important part of the treatment of patients with cardiovascular disease. However, to date, its full potential is fairly underutilised. This review discusses new developments in CR aimed at improving participation rates and long-term effectiveness in the general cardiac population. It consecutively highlights new or challenging target groups, new delivery modes and new care pathways for CR programmes. These new or challenging target groups include patients with atrial fibrillation, obesity and cardiovascular disease, chronic coronary syndromes, (advanced) chronic heart failure with or without intracardiac devices, women and frail elderly patients. Also, the current evidence regarding cardiac telerehabilitation and loyalty programmes is discussed as new delivery modes for CR. Finally, this paper discusses novel care pathways with the integration of CR in residual risk management and transmural care pathways. These new developments can help to make optimal use of the benefits of CR. Therefore we should seize the opportunities to reshape current CR programmes, broaden their applicability and incorporate them into or combine them with other cardiovascular care programmes/pathways.

Details

ISSN :
18766250 and 15685888
Volume :
29
Database :
OpenAIRE
Journal :
Netherlands Heart Journal
Accession number :
edsair.doi.dedup.....088b4c080064fdf897692f2dee8b0066
Full Text :
https://doi.org/10.1007/s12471-021-01585-4