Intensive Cardiac Rehabilitation: an Underutilized Resource

Freeman, Andrew M.; Taub, Pam R.; Lo, Hannah; Ornish, Dean

doi:10.1007/s11886-019-1104-1

Cited by 28 publications

(18 citation statements)

References 103 publications

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“…(8) Provide a series of assessments to track ongoing efforts to reduce cardiovascular risk, including physical activity/fitness training (Freeman et al, 2019).…”

Section: Strategies To Increase Patient Referral and Long-term Particmentioning

confidence: 99%

Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance

2019

Reviews in Cardiovascular Medicine

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Coronary heart disease is a serious threat to human health. In China, medical care for the population has been focused on therapy with little follow-up of treated patients. The efficacy of therapy; however, is highly dependent on post-therapy recovery. Cardiac rehabilitation can significantly enhance patient physical strength and help delay and prevent the development of coronary atherosclerosis. Although the clinical significance of cardiac rehabilitation has been established, the compliance of patients is generally low. In efforts to improve patient compliance, domestic and foreign researchers have extensively studied and applied treatment models of cardiac rehabilitation according to the specific conditions and cultural background of each country. This study aimed to review the treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance to provide a better perspective of how patients with coronary heart disease can benefit from cardiac rehabilitation.

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“…(8) Provide a series of assessments to track ongoing efforts to reduce cardiovascular risk, including physical activity/fitness training (Freeman et al, 2019).…”

Section: Strategies To Increase Patient Referral and Long-term Particmentioning

confidence: 99%

Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance

2019

Reviews in Cardiovascular Medicine

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“…Cardiac rehabilitation (CR) is a multidisciplinary program that aims to help patients recover from a cardiac event and lower their risk of death via lifestyle interventions (1). While CR has been shown to have mortality benefits in cardiovascular patients (2-7), many patients still lack access to these services partially due to lack of referrals, as commented on by Abreu (8).…”

Section: Introductionmentioning

confidence: 99%

Barriers physicians face when referring patients to cardiac rehabilitation: a narrative review

Elsakr¹,

Bulger²,

Roman³

et al. 2019

Ann. Transl. Med.

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While cardiac rehabilitation (CR) has been shown to be a beneficial form of secondary prevention for patients with cardiovascular disease, barriers of referral to CR still exist for patients. Barriers that specifically make it difficult for physicians to make the referral could be worthwhile to examine. This narrative review hypothesizes that increasing awareness and education on the various aspects of CR as well as simplifying the referral process could lead to increased referral rates as they target physician-related barriers. This narrative review seeks to further understand the physician-related barriers of low CR awareness and hindering referral processes. A search in Scopus was conducted with preference for articles examining CR referral strategies used by physicians; physicians' awareness of CR programs; physicians' perceptions, beliefs, or knowledge of the benefits of CR; or physicians' experience with or understanding of the selection process of CR programs, including indications for referral. Two systematic reviews and two observational studies were selected for discussion. Three of the selected studies had findings supporting the notion that increasing physicians' awareness of CR could impact referral rates. One of the studies evaluated the perceptions that physicians and CR programs had on various referral strategies. While more study is needed to assess the actual level of knowledge and awareness physicians have regarding CR, this review supports using educational interventions as well as targeting various aspects of the referral process for improving referral rates.

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“…Cardiac rehabilitation may be considered a comprehensive rehabilitation program that improves functional capacities under HF condition. Currently, cardiac programs for rehabilitation seem to be underutilized [87]. IMT intervention is a useful alternative therapy that is suitable for the participation of HF patients.…”

Section: Antunesmentioning

confidence: 99%

Unraveling the Role of Respiratory Muscle Metaboloreceptors under Inspiratory Training in Patients with Heart Failure

Fernández-Rubio

Becerro‐de‐Bengoa‐Vallejo

Rodríguez‐Sanz

et al. 2021

IJERPH

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Exercise intolerance may be considered a hallmark in patients who suffer from heart failure (HF) syndrome. Currently, there is enough scientific evidence regarding functional and structural deterioration of skeletal musculature in these patients. It is worth noting that muscle weakness appears first in the respiratory muscles and then in the musculature of the limbs, which may be considered one of the main causes of exercise intolerance. Functional deterioration and associated atrophy of these respiratory muscles are related to an increased muscle metaboreflex leading to sympathetic–adrenal system hyperactivity and increased pulmonary ventilation. This issue contributes to increased dyspnea and/or fatigue and decreased aerobic function. Consequently, respiratory muscle weakness produces exercise limitations in these patients. In the present review, the key role that respiratory muscle metaboloreceptors play in exercise intolerance is accurately addressed in patients who suffer from HF. In conclusion, currently available scientific evidence seems to affirm that excessive metaboreflex activity of respiratory musculature under HF is the main cause of exercise intolerance and sympathetic–adrenal system hyperactivity. Inspiratory muscle training seems to be a useful personalized medicine intervention to reduce respiratory muscle metaboreflex in order to increase patients’ exercise tolerance under HF condition.

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Intensive Cardiac Rehabilitation: an Underutilized Resource

Cited by 28 publications

References 103 publications

Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance

Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance

Barriers physicians face when referring patients to cardiac rehabilitation: a narrative review

Unraveling the Role of Respiratory Muscle Metaboloreceptors under Inspiratory Training in Patients with Heart Failure

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