May 19, 2021Journal of Clinical MedicineOpen Access

Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 1

Q: What are the key findings of this study?

Multidisciplinary cardiovascular rehabilitation is associated with a significant reduction in all-cause mortality after ACS and CABG, and improves exercise capacity and quality of life in HFrEF.

Q: What is the clinical evidence from this study?

Study design: Meta-Analysis. Population: Cardiovascular diseases (ACS, CABG, HFrEF). Intervention: Multidisciplinary cardiovascular rehabilitation. Primary outcome: All-cause mortality, exercise capacity, and health-related quality of life.

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Why the study?

Cardiovascular rehabilitation attendance and delivery vary considerably across European countries, and clinical and prognostic effects are not well established for many cardiovascular diseases.

Does multidisciplinary cardiovascular rehabilitation improve outcomes in patients after ACS, CABG, or with HFrEF?

Population

Patients after ACS, after CABG, with severe HFrEF, and with other cardiovascular diseases

Comparison

CR and psychological interventions vs standard care or baseline

Design

Evidence-based guidelines incorporating four meta-analyses and semi-structured literature searches

Authors

BRBernhard RauchTrier University of Applied Sciences ASAnnett SalzwedelPreventive Cardiology BBBirna Bjarnason‐WehrensPreventive Cardiology

Discussion

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Implication

Prompts routine multidisciplinary cardiovascular rehabilitation after ACS/CABG and in HFrEF; reinforces Level 1 evidence in guidelines.

Study Design

Type

Meta-Analysis

Structured PICO

Does multidisciplinary cardiovascular rehabilitation improve outcomes in patients after ACS, CABG, or with HFrEF?

Population

Patients after acute coronary syndrome (ACS), after coronary bypass grafting (CABG), and patients with severe chronic systolic heart failure (HFrEF, LVEF <40%)

Intervention

Multidisciplinary cardiovascular rehabilitation (CR) and psychological interventions

Outcome

All-cause mortality, exercise capacity, and health-related quality of life

These guidelines reinforce the substantial benefit of multidisciplinary cardiovascular rehabilitation in reducing mortality after ACS and CABG, and improving quality of life in HFrEF.

Limitations

Remaining deficits in CR-delivery in clinical practice as well as in CR-science with respect to methodology and presentation.
Remaining deficits in CR-delivery in clinical practice
Deficits in CR-science with respect to methodology and presentation

Cite This Study

Rauch et al. (2021) conducted a meta-analysis in Cardiovascular diseases (ACS, CABG, HFrEF). Multidisciplinary cardiovascular rehabilitation was evaluated on All-cause mortality, exercise capacity, and health-related quality of life. Multidisciplinary cardiovascular rehabilitation is associated with a significant reduction in all-cause mortality after ACS and CABG, and improves exercise capacity and quality of life in HFrEF.

synapsesocial.com/papers/6a8c17b72ff0ab4f91e9657a https://doi.org/10.3390/jcm10102192

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Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 1

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Cardiac Rehabilitation in German Speaking Countries of Europe—Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH—Part 1

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider