Reconfiguring Cardiac Rehabilitation to Achieve Panvascular Prevention: New Care Models for a New World

Cardiovascular rehabilitation in Romania

“…The 2016 Cochrane meta-analysis, which included 14486 patients with myocardial infarction, angina, or myocardial revascularization, highlighted a decrease in cardiovascular mortality with 26%, in hospital admissions with 18% and an improvement of the quality of life in favor of those who attended CR programs 20 . The effi cacy of CR is similar to secondary prevention medication such as aspirin, beta blockers, angiotensin converting enzyme inhibitors, statins 21 (Table 1).…”

Acute Medical Conditions: Cardiopulmonary Disease, Medical Frailty, and Renal Failure

“…Demand for cardiac rehabilitation services is unable to keep up with the current and projected future supply throughout the world leading to innovative approaches to delivery included home-based and “hybrid” programs. 89 , 125 , 134 Numerous innovative models are emerging in both cardiac and pulmonary rehabilitation. 28 All models are initiated with an in-person evaluation and followed by various technology driven follow-up contacts.…”

Aplicabilidad de los consensos de expertos de unidades de insuficiencia cardiaca/rehabilitación cardiaca y RehaCtivAP con respecto a la COVID-19

“…Por todo lo descrito, se hace aún más necesario cambiar el modo de hacer la RC, para llegar al máximo número de pacientes incluso en sus domicilios y dejar la actividad presencial solo para aquellos con mayor riesgo. Ya en los últimos 2 años abogábamos por programas cada vez menos presenciales, híbridos, basados en e-supervisión y telemedicina para pacientes con riesgo bajo o intermedio 7 . Ahora no existe otra forma mejor de programar la RC para los pacientes que no tengan alto riesgo y la telemedicina será la manera predominante en los próximos años.…”