Key result
Cardiac rehabilitation programs should be expanded to novel target groups and utilize innovative delivery modes like telerehabilitation to improve participation and long-term effectiveness.
Why the study?
Cardiac rehabilitation is an important treatment for cardiovascular disease, but its full potential remains fairly underutilised.
Cardiac rehabilitation programs should be reshaped to broaden their applicability to novel target groups and incorporate new delivery modes like telerehabilitation and integrated care pathways to maximize benefits.
May support broader cardiac rehab access via telerehabilitation; leaves open confirmation of long-term gains in novel groups.
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.
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Vromen et al. (2021) conducted a review in Cardiovascular disease. Cardiac rehabilitation was evaluated. Cardiac rehabilitation programs should be expanded to novel target groups and utilize innovative delivery modes like telerehabilitation to improve participation and long-term effectiveness.
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