Cardiac Rehabilitation for Patients With Heart Failure

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:77

Article

Bozkurt, Biykem^1,2  Fonarow, Gregg C.³  Goldberg, Lee R.⁴  Guglin, Maya⁵  Josephson, Richard A.⁶  Forman, Daniel E.^7,8,9  Lin, Grace¹⁰  Lindenfeld, JoAnn¹¹  O'Connor, Chris^12,13  Panjrath, Gurusher¹⁴  Pina, Ileana L.^15,16  Shah, Tina¹⁷  Sinha, Shashank S.^12,13  Wolfel, Eugene¹⁸ 

[1] Baylor Coll Med, Winters Ctr Heart Failure, Cardiovasc Res Inst, Houston, TX 77030 USA

[2] DeBakey VA Med Ctr, Houston, TX USA

[3] Univ Calif Los Angeles, Ahmanson UCLA Cardiomyopathy Ctr, Div Cardiol, Los Angeles, CA USA

[4] Univ Penn, Perelman Sch Med, Cardiovasc Div, Philadelphia, PA 19104 USA

[5] Indiana Univ Sch Med, Krannert Inst Cardiol, Indianapolis, IN 46202 USA

[6] Case Western Reserve Univ, Div Cardiovasc Med, Cardiovasc & Pulm Rehabil, Harrington Heart & Vasc Inst,Univ Hosp Hlth Syst, Cleveland, OH USA

[7] Univ Pittsburgh, Div Cardiol, Pittsburgh, PA USA

[8] Univ Pittsburgh, Div Geriatr, Pittsburgh, PA USA

[9] VA Pittsburgh Hlth Care Syst, Pittsburgh, PA USA

[10] Mayo Clin, Dept Cardiovasc Med, Rochester, MN USA

[11] Vanderbilt Univ, Med Ctr, Div Cardiovasc Med, Nashville, TN USA

[12] Inova Fairfax Med Ctr, Inova Heart & Vasc Inst, Falls Church, VA USA

[13] Duke Univ, Durham, NC USA

[14] George Washington Univ, Sch Med & Hlth Sci, Div Cardiol, Washington, DC 20052 USA

[15] Wayne State Univ, Detroit, MI USA

[16] Cent Michigan Univ, Mt Pleasant, MI 48859 USA

[17] Kaiser Permanente Washington, Dept Cardiol, Seattle, WA USA

[18] Univ Colorado, Div Cardiol, Sect Adv Heart Failure & Transplant Cardiol, Sch Med, Aurora, CO USA

关键词: activity;    cardiac rehabilitation;    exercise;    exercise training;    functional status;    heart failure;   

DOI  :  10.1016/j.jacc.2021.01.030

来源: Elsevier

【 摘 要 】

Cardiac rehabilitation is defined as a multidisciplinary program that includes exercise training, cardiac risk factor modification, psychosocial assessment, and outcomes assessment. Exercise training and other components of cardiac rehabilitation (CR) are safe and beneficial and result in significant improvements in quality of life, functional capacity, exercise performance, and heart failure (HF)-related hospitalizations in patients with HF. Despite outcome benefits, cost-effectiveness, and strong practice guideline recommendations, CR remains underused. Clinicians, health care leaders, and payers should prioritize incorporating CR as part of the standard of care for patients with HF. Published by Elsevier on behalf of the American College of Cardiology Foundation.

【 授权许可】

Free