The Future of Exercise-Based Cardiac Rehabilitation for Patients With Heart Failure

Frontiers in Cardiovascular Medicine

article

Andrea Passantino¹  Laura Adelaide Dalla Vecchia¹  Ugo Corr๠ Simonetta Scalvini²  Massimo Pistono¹  Maurizio Bussotti¹  Fabiana Isabella Gambarin¹  Domenico Scrutinio¹  Maria Teresa La Rovere² 

[1] Istituti Clinici Scientifici Maugeri Spa SB, IRCCS Division of Cardiac Rehabilitation;Istituti Clinici Scientifici Maugeri Spa SB, Division of Cardiac Rehabilitation

关键词: heart failure;    cardiac rehabilitation;    exercise;    telerehabilitation;    cied recipients;    heart failure with preserved ejection fraction;   

DOI  :  10.3389/fcvm.2021.709898

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Cardiac rehabilitation (CR) is a comprehensive program that includes exercise training, titration of medical therapy, lifestyle modification, educational support, and psychosocial assessment. All these components are safe and beneficial resulting in significant improvements in quality of life, functional capacity, mortality, and hospital readmission. Current guidelines support its use in a broad spectrum of cardiac disease. This review focuses on exercise-based CR for heart failure (HF) patients in whom CR is a recommended treatment. Exercise should be prescribed according to a personalized approach, optimizing, and tailoring the rehabilitative program to the patient's characteristics. Specific CR programs are dedicated to older patients, those with HF and preserved ejection fraction, and recipients of cardiac implantable electronic devices or left ventricular assistance device. Telemedicine may increase CR participation and overcome some of the barriers that limit its utilization.

【 授权许可】

CC BY