Advances, Challenges, and Progress in Cardiac Rehabilitation in Chronic CVD Management
- PMID: 37040008
- DOI: 10.1007/s11883-023-01100-7
Advances, Challenges, and Progress in Cardiac Rehabilitation in Chronic CVD Management
Abstract
Purpose of review: To review the benefits, challenges, and advances in cardiac rehabilitation (CR) in the management of cardiovascular disease (CVD).
Recent findings: Novel strategies of delivering CR are being studied that use remote technologies to link patients with CR professionals. These strategies used alone or in tandem with center-based, face-to-face strategies appear to have shorter-term effectiveness, but additional work is needed to assess the longer-term impact. Cardiac rehabilitation improves patient outcomes, but only a minority of eligible individuals participate. Solutions exist to help bridge the barriers to CR participation, including systematic solutions, such as automatic CR referral of eligible patients. Efforts are underway to improve participation, improve the effectiveness of CR therapies, and enhance the reach of CR into new patient groups. Future work in the field is focused on opportunities to advance the science, practice, and policies that will shape and improve the delivery and impact of CR services.
Keywords: Cardiac rehabilitation; Cardiovascular disease; Coronary artery disease; Secondary prevention.
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Similar articles
-
Cardiac Rehabilitation for Secondary Prevention of Cardiovascular Disease: 2019 Update.Curr Treat Options Cardiovasc Med. 2019 Sep 5;21(10):56. doi: 10.1007/s11936-019-0759-7. Curr Treat Options Cardiovasc Med. 2019. PMID: 31486974 Review.
-
Cardiac rehabilitation: Appraisal of current evidence and utility of technology aided home-based cardiac rehabilitation.Indian Heart J. 2020 Nov-Dec;72(6):491-499. doi: 10.1016/j.ihj.2020.08.013. Epub 2020 Aug 26. Indian Heart J. 2020. PMID: 33357636 Free PMC article. Review.
-
Home-Based Cardiac Rehabilitation: A Scientific Statement From the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology.Circulation. 2019 Jul 2;140(1):e69-e89. doi: 10.1161/CIR.0000000000000663. Epub 2019 May 13. Circulation. 2019. PMID: 31082266 Review.
-
Cardiac Rehabilitation in Saudi Arabia: Current Status and Future Directions.Curr Cardiol Rep. 2024 Oct;26(10):1077-1083. doi: 10.1007/s11886-024-02105-7. Epub 2024 Jul 20. Curr Cardiol Rep. 2024. PMID: 39031281 Review.
-
End Users Want Alternative Intervention Delivery Models: Usability and Acceptability of the REMOTE-CR Exercise-Based Cardiac Telerehabilitation Program.Arch Phys Med Rehabil. 2018 Nov;99(11):2373-2377. doi: 10.1016/j.apmr.2018.06.027. Epub 2018 Aug 2. Arch Phys Med Rehabil. 2018. PMID: 30076800 Clinical Trial.
Cited by
-
Comprehensive and personalized approach is a critical area for developing remote cardiac rehabilitation programs.World J Clin Cases. 2024 Apr 26;12(12):2009-2015. doi: 10.12998/wjcc.v12.i12.2009. World J Clin Cases. 2024. PMID: 38680265 Free PMC article.
-
Evaluation of the efficacy of integrating digital therapeutics with home-based cardiac rehabilitation on cardiovascular health in high-risk post-PCI patients (DTx-HBCR): Study protocol for a randomized controlled trial.Digit Health. 2025 Jul 25;11:20552076251360885. doi: 10.1177/20552076251360885. eCollection 2025 Jan-Dec. Digit Health. 2025. PMID: 40735550 Free PMC article.
-
Technology-assisted cardiac rehabilitation for coronary heart disease patients with central obesity: a randomized controlled trial.Eur J Phys Rehabil Med. 2024 Feb;60(1):95-103. doi: 10.23736/S1973-9087.23.08111-X. Epub 2023 Dec 7. Eur J Phys Rehabil Med. 2024. PMID: 38059577 Free PMC article. Clinical Trial.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
-
- Leon AS, Franklin BA, Costa F, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2005;111:369–76. - PubMed - DOI
-
- Ritchey MD, Maresh S, McNeely J et al. Tracking cardiac rehabilitation participation and completion among medicare beneficiaries to inform the efforts of a national initiative. Circ Cardiovasc Qual Outcomes. 2020;13:e005902. This paper highlights the ongoing gap in cardiac rehabilitation participation in the USA.
-
- Ades PA, Keteyian SJ, Wright JS et al. Increasing cardiac rehabilitation participation from 20% to 70%: a road map from the million hearts cardiac rehabilitation collaborative. Mayo Clin Proc. 2017;92:234–242. This paper reviews effective strategies to help improve cardiac rehabilitation participation rates from the current national level of about 20% to as much as 70% or higher.
-
- Balady GJ, Williams MA, Ades PA, et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007update: a scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev. 2007;2007(27):121–9. This is a foundational paper regarding the key components of cardiac rehabilitation programs. - DOI
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials