Vol 79, Supp. III (2021): Zeszyty Edukacyjne 3/2021
Opinie i stanowiska ekspertów
Published online: 2021-09-16

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Kompleksowa rehabilitacja kardiologiczna podstawą prewencji wtórnej chorób układu sercowo-naczyniowego. Opinia ekspertów Sekcji Rehabilitacji Kardiologicznej i Fizjologii Wysiłku Polskiego Towarzystwa Kardiologicznego

Anna Jegier1, Dominika Szalewska2, Agnieszka Mawlichanów3, Tadeusz Bednarczyk4, Zbigniew Eysymontt5, Michał Gałaszek5, Artur Mamcarz6, Anna Mierzyńska78, Ewa Piotrowicz9, Ryszard Piotrowicz710, Krzysztof Smarż11, Edyta Smolis-Bąk7, Ewa Straburzyńska-Migaj12, Jadwiga Wolszakiewicz7
DOI: 10.33963/v.kp.85931

Abstract

Kompleksowa rehabilitacja kardiologiczna (CR) jest podstawą wtórnej prewencji chorób układu sercowo-naczyniowego (CVD). W wytycznych Europejskiego Towarzystwa Kardiologicznego CR ma najwyższą klasę zaleceń i najwyższy poziom wiarygodności danych naukowych jako skuteczna metoda leczenia chorych z zawałem serca z uniesieniem odcinka ST, po rewaskularyzacji mięśnia sercowego, z przewlekłym zespołem wieńcowym, stosowana w profilaktyce CVD w praktyce klinicznej oraz u osób z niewydolnością serca. Niniejszy dokument przedstawia opinię ekspertów Sekcji Rehabilitacji Kardiologicznej i Fizjologii Wysiłku Polskiego Towarzystwa Kardiologicznego dotyczącą korzyści z CR, grup docelowych, wskazań klinicznych, organizacji świadczeń rehabilitacyjnych i sposobów ich realizacji. W opracowaniu przedstawiono również psychospołeczne czynniki ryzyka wpływające na przebieg CR oraz prewencję wtórną CVD u chorych poddawanych CR. Kompleksowa CR to proces, który powinien zostać wdrożony jak najszybciej, być kontynuowany bez przerwy i składać się z wielu etapów. Ponadto CR powinna być dostosowana do indywidualnej sytuacji klinicznej i akceptowana przez chorego oraz jego rodzinę, przyjaciół i opiekunów.

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