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Review
. 2021 Aug 4:8:709898.
doi: 10.3389/fcvm.2021.709898. eCollection 2021.

The Future of Exercise-Based Cardiac Rehabilitation for Patients With Heart Failure

Andrea Passantino  1 , Laura Adelaide Dalla Vecchia  2 , Ugo Corrà  3 , Simonetta Scalvini  4 , Massimo Pistono  3 , Maurizio Bussotti  2 , Fabiana Isabella Gambarin  3 , Domenico Scrutinio  1 , Maria Teresa La Rovere  5
Affiliations
Review

The Future of Exercise-Based Cardiac Rehabilitation for Patients With Heart Failure

Andrea Passantino et al. Front Cardiovasc Med. .

Abstract

Cardiac rehabilitation (CR) is a comprehensive program that includes exercise training, titration of medical therapy, lifestyle modification, educational support, and psychosocial assessment. All these components are safe and beneficial resulting in significant improvements in quality of life, functional capacity, mortality, and hospital readmission. Current guidelines support its use in a broad spectrum of cardiac disease. This review focuses on exercise-based CR for heart failure (HF) patients in whom CR is a recommended treatment. Exercise should be prescribed according to a personalized approach, optimizing, and tailoring the rehabilitative program to the patient's characteristics. Specific CR programs are dedicated to older patients, those with HF and preserved ejection fraction, and recipients of cardiac implantable electronic devices or left ventricular assistance device. Telemedicine may increase CR participation and overcome some of the barriers that limit its utilization.

Keywords: cardiac rehabilitation; cied recipients; exercise; heart failure; heart failure with preserved ejection fraction; telerehabilitation.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. GBD 2015 Mortality and Causes of Death Collaborators . Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the global burden of disease study 2015. Lancet. (2016) 388:1459–544. 10.1016/S0140-6736(16)31012-1 - DOI - PMC - PubMed
    1. Corrà U, Giannuzzi P, Adamopoulos S, Bjornstad H, Bjarnason-Weherns B, Cohen-Solal A, et al. . Executive summary of the position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology (ESC): core components of cardiac rehabilitation in chronic heart failure. Eur J Cardiovasc Prev Rehabil. (2005) 12:321–5. 10.1097/01.hjr.0000173108.76109.88 - DOI - PubMed
    1. Lown B, Selzer A. The coronary care unit. Am J Cardiol. (1968) 22:597–602. 10.1016/0002-9149(68)90167-7 - DOI - PubMed
    1. Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. (1953) 262:1111–20. 10.1016/S0140-6736(53)91495-0 - DOI - PubMed
    1. O'Connor GT, Buring JE, Yusuf S, Goldhaber SZ, Olmstead EM, Paffenbarger RS, Jr, et al. . An overview of randomized trials of rehabilitation with exercise after myocardial infarction. Circulation. (1989) 80:234–44. 10.1161/01.CIR.80.2.234 - DOI - PubMed