open access

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Expert opinion
Published online: 2021-07-13
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Comprehensive cardiac rehabilitation as the keystone in the secondary prevention of cardiovascular disease

Anna Jegier, Dominika Szalewska, Agnieszka Mawlichanów, Tadeusz Bednarczyk, Zbigniew Eysymontt, Michał Gałaszek, Artur Mamcarz, Anna Mierzyńska, Ewa Piotrowicz, Ryszard Piotrowicz, Krzysztof Smarż, Edyta Smolis-Bąk, Ewa Straburzyńska-Migaj, Jadwiga Wolszakiewicz
DOI: 10.33963/KP.a2021.0066
·
Pubmed: 34268725

open access

Online first
Expert opinion and position paper
Published online: 2021-07-13

Abstract

Comprehensive cardiac rehabilitation (CR) is a mainstay of the secondary prevention of cardiovascular disease. In the European Society of Cardiology guidelines, comprehensive cardiovascular rehabilitation has the highest class of recommendation and level of evidence as an effective method for the treatment of patients with ST-segment elevation myocardial infarction, after myocardial revascularization, with chronic coronary syndrome, for CVD prevention in clinical practice, and in patients with heart failure (HF). This document presents an expert opinion of the Cardiac Rehabilitation and Exercise Physiology Section of the Polish Cardiac Society concerning the definition, goals, target population, organization of rehabilitation services, standard clinical indications and methods of implementation. Moreover, it describes psychosocial risk factors influencing the course of CR and secondary prevention of cardiovascular disease in patients undergoing CR. Comprehensive CR is as a process that should be implemented as soon as possible, continued without interruption, and consist of multiple stages. Moreover, it should be tailored to the individual clinical situation and should be accepted by the patient and their family, friends, and caregivers.

Abstract

Comprehensive cardiac rehabilitation (CR) is a mainstay of the secondary prevention of cardiovascular disease. In the European Society of Cardiology guidelines, comprehensive cardiovascular rehabilitation has the highest class of recommendation and level of evidence as an effective method for the treatment of patients with ST-segment elevation myocardial infarction, after myocardial revascularization, with chronic coronary syndrome, for CVD prevention in clinical practice, and in patients with heart failure (HF). This document presents an expert opinion of the Cardiac Rehabilitation and Exercise Physiology Section of the Polish Cardiac Society concerning the definition, goals, target population, organization of rehabilitation services, standard clinical indications and methods of implementation. Moreover, it describes psychosocial risk factors influencing the course of CR and secondary prevention of cardiovascular disease in patients undergoing CR. Comprehensive CR is as a process that should be implemented as soon as possible, continued without interruption, and consist of multiple stages. Moreover, it should be tailored to the individual clinical situation and should be accepted by the patient and their family, friends, and caregivers.

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Keywords

cardiac rehabilitation, coronary artery disease, exercise training, secondary prevention of cardiovascular disease

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About this article
Title

Comprehensive cardiac rehabilitation as the keystone in the secondary prevention of cardiovascular disease

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Online first

Article type

Expert opinion

Published online

2021-07-13

DOI

10.33963/KP.a2021.0066

Pubmed

34268725

Keywords

cardiac rehabilitation
coronary artery disease
exercise training
secondary prevention of cardiovascular disease

Authors

Anna Jegier
Dominika Szalewska
Agnieszka Mawlichanów
Tadeusz Bednarczyk
Zbigniew Eysymontt
Michał Gałaszek
Artur Mamcarz
Anna Mierzyńska
Ewa Piotrowicz
Ryszard Piotrowicz
Krzysztof Smarż
Edyta Smolis-Bąk
Ewa Straburzyńska-Migaj
Jadwiga Wolszakiewicz

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