Key result
Cardiac rehabilitation is a complex multidisciplinary intervention that improves evidence-based practice and patient outcomes to optimize the transition of care in heart failure.
Why the study?
Despite improvements in treatments, heart failure prognosis remains poor, with elderly patients especially burdened by multiple comorbidities and polypharmacy.
Does cardiac rehabilitation improve clinical outcomes and exercise capacity in patients with heart failure?
Does cardiac rehabilitation improve clinical outcomes and exercise capacity in patients with heart failure?
Cardiac rehabilitation is a crucial multidisciplinary intervention that improves functional capacity and reduces hospitalizations in heart failure patients, particularly during the vulnerable post-discharge phase and in the elderly.
May support cardiac rehabilitation in heart failure transitions; leaves open confirmation in higher-level trials.
Despite improvements in treatments, the prognosis of heart failure remains poor. Elderly patients with heart failure are burdened with multiple co-morbidities and polypharmacy. Multidisciplinary disease-management programs are recommended as standard care for patients at high risk of hospitalization. Cardiac rehabilitation is defined a coordinated multidimensional intervention that integrates the basic elements in multidisciplinary management programs with a continuing program of physical activity and exercise training. Cardiac rehabilitation services can be provided on an inpatient or outpatient basis according to the clinical characteristics and severity of the disease. Data support the usefulness of inpatient cardiac rehabilitation interventions soon after hospitalization for acute decompensated heart failure as a "transition care service" to overcome the particularly high risk "vulnerable" phase. Although in the elderly, physical activity is conditioned by the general clinical conditions, the presence of comorbidities and frailty, several data underscore the importance of improving exercise capacity in the elderly vulnerable patient.
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Rovere et al. (2019) conducted a review in Heart failure. Cardiac rehabilitation vs. Usual care was evaluated. Cardiac rehabilitation is a complex multidisciplinary intervention that improves evidence-based practice and patient outcomes to optimize the transition of care in heart failure.
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