French Society of Cardiology guidelines for cardiac rehabilitation in adults

Cardiovascular risk, chronic obstructive pulmonary disease and pulmonary rehabilitation

“…37 However, based on patient characteristics, similar to those of patients with COPD, exercise training has emerged as a key component for CR in patients with CHF. 34,35 The systemic consequences of COPD and CHF show considerable similarity, including skeletal muscle dysfunction, mood disturbances, osteoporosis, hormonal alterations, and anemia. 34 Factors such as hypoxemia, disuse, aging, nutritional depletion, medication use, systemic inflammation, and smoking can contribute to skeletal muscle dysfunction, early onset of peripheral muscle fatigue, and impaired endurance performance.…”

“…The presence of a member of the rehabilitation team skilled in advanced life support and readily available defibrillation equipment should be considered in high-risk patients. 35 Similar to education on respiratory disease, patients with concomitant CHF should be provided disease-specific education during the program or should be referred to another health care professional for this purpose. 34 Education topics can include, for example, the heart and its function, cardiovascular risk factors and pathologies, cardiology investigations, warning signs (such as angina), selfassessment techniques (blood pressure, glycemia, weight monitoring), fluid and salt restriction, medications, and life-saving measures.…”

“…35 As in COPD, depression, mood disorders, and smoking cessation should be addressed. 35 What can we learn from CR?…”

“…34 Education topics can include, for example, the heart and its function, cardiovascular risk factors and pathologies, cardiology investigations, warning signs (such as angina), selfassessment techniques (blood pressure, glycemia, weight monitoring), fluid and salt restriction, medications, and life-saving measures. 35 In patients with coronary heart disease, an antiatheromatous diet should be provided, together with education and practical workshops. 35 As in COPD, depression, mood disorders, and smoking cessation should be addressed.…”

“…35 In patients with coronary heart disease, an antiatheromatous diet should be provided, together with education and practical workshops. 35 As in COPD, depression, mood disorders, and smoking cessation should be addressed. 35 What can we learn from CR?…”