Cardiac rehabilitation for heart failure: ‘Cinderella’ or evidence-based pillar of care?

Author:

Taylor Rod S123ORCID,Dalal Hasnain M45ORCID,Zwisler Ann-Dorthe3678ORCID

Affiliation:

1. MRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, School of Health & Well Being, Clarice Pears Building, University of Glasgow , Byres Rd, Glasgow G12 8TA , UK

2. Health Service Research, College of Medicine and Health, University of Exeter , Heavitree Rd, Exeter, EX2 4TH , UK

3. Faculty of Health Sciences and National Institute of Public Health, University of Southern Denmark , Studiestræde 6, 1455, Copenhagen , Denmark

4. University of Exeter Medical School, Royal Cornwall Hospital , Truro , UK

5. Primary Care Research Group, University of Exeter Medical School, St Luke’s Campus , Exeter , UK

6. Department of Cardiology, Odense University Hospital , J. B. Winsløws Vej 4, 5000, Odense C , Denmark

7. REHPA , Vestergade 17, 5800, Nyborg , Denmark

8. Department of Clinical Research, University of Southern Denmark , Campusvej 55, DK-5230 Odense M , Denmark

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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