Cardiac rehabilitation for heart failure: 'Cinderella' or evidence-based pillar of care?. (11th March 2023)

• Record Type: Journal Article
• Authors: Taylor, Rod S; Dalal, Hasnain M; Zwisler, Ann-Dorthe
• Is Part Of: European heart journal. Volume 44:Number 17(2023)
• Page Start: 1511
• Page End: 1518
• Publication Date: 2023-03-11
• Subjects: Heart failure -- Cardiac rehabilitation -- Exercise -- Psychosocial support -- Health-related quality of life -- Rehospitalization; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/ehad118
• Languages: English
• ISSNs: 0195-668X

Abstract

Graphical Abstract: Graphical Abstract Graphical abstract summarizing key points of state-of-the-art review. Abstract: Cardiac rehabilitation remains the 'Cinderella' of treatments for heart failure. This state-of-the-art review provides a contemporary update on the evidence base, clinical guidance, and status of cardiac rehabilitation delivery for patients with heart failure. Given that cardiac rehabilitation participation results in important improvements in patient outcomes, including health-related quality of life, this review argues that an exercise-based rehabilitation is a key pillar of heart failure management alongside drug and medical device provision. To drive future improvements in access and uptake, health services should offer heart failure patients a choice of evidence-based modes of rehabilitation delivery, including home, supported by digital technology, alongside traditional centre-based programmes (or combinations of modes, 'hybrid') and according to stage of disease and patient preference.