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Review
. 2020 Sep;28(9):443-451.
doi: 10.1007/s12471-020-01432-y.

Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

R W M Brouwers  1 , H J van Exel  2 , J M C van Hal  3 , H T Jorstad  4 , E P de Kluiver  5 , R A Kraaijenhagen  6 , P M J C Kuijpers  7 , M R van der Linde  8 , R F Spee  9   10 , M Sunamura  11 , N H M K Uszko-Lencer  7   12 , T Vromen  7 , M E Wittekoek  13 , H M C Kemps  9   10 ; Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology
Affiliations
Review

Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

R W M Brouwers et al. Neth Heart J. 2020 Sep.

Abstract

Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.

Keywords: Cardiac rehabilitation; Cardiac telerehabilitation; Chronic heart failure; Coronary artery disease; Telemonitoring.

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Conflict of interest statement

R.W.M. Brouwers, H.J. van Exel, J.M.C. van Hal, H.T. Jorstad, E.P. de Kluiver, R.A. Kraaijenhagen, P.M.J.C. Kuijpers, M.R. van der Linde, R.F. Spee, M. Sunamura, N.H.M.K. Uszko-Lencer, T. Vromen, M.E. Wittekoek and H.M.C. Kemps declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Characteristics of cardiac telerehabilitation programmes. (CR cardiac rehabilitation, CV cardiovascular, CTR cardiac telerehabilitation)
See this image and copyright information in PMC

References

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