Abstract
Cardiac rehabilitation is a much appreciated but underutilized treatment strategy for cardiovascular disease. Traditional center-based cardiac rehabilitation program has been suspended due to the concrete measures adopted to flatten the COVID-19 pandemic curve. The current situation of emphasis the need of alternative approach for cardiac rehabilitation. This review shed light on consequences of COVID-19 disease on cardiac rehabilitation, the alternative approaches of cardiac rehabilitation, its potential advantages, and limitations as well as future directions.
Highlights
Cardiac rehabilitation is a much appreciated but underutilized treatment strategy for cardiovascular disease
Given the current situation and expected rise in future, cardiac rehabilitation (CR) programs can be considered as an important treatment strategy for enhancing the acute and chronic care of the patients with Cardiovascular disease (CVD)
The COVID-19 disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus soon become pandemic after its outbreak in China
Summary
Cardiovascular disease (CVD) is one of the leading causes of disability worldwide. Given the current situation and expected rise in future, cardiac rehabilitation (CR) programs can be considered as an important treatment strategy for enhancing the acute and chronic care of the patients with CVD. CR is a complex intervention which involves several aspects of treatment for optimization of care of the patients including patient evaluation, assessment, and management of modifiable risk factors for CVD, behaviour change, dietary advice, physical activity counselling and psychological support. Several definitions of CR are available [1], [2] it can be more appropriately defined as follow: “The coordinated sum of activities required to influence favourably the underlying cause of cardiovascular disease, as well as to provide the best possible physical, mental, and social conditions, so that the patients may, by their own efforts, preserve or resume optimal functioning in their community and through improved health behaviour, slow or reverse progression of disease”[3]. Participation in the CR program has been recommended to patients after myocardial infraction percutaneous coronary intervention, or coronary artery bypass graft surgery, heart valve surgery, cardiac transplantation or in the setting of chronic heart failure (HF) with reduced ejection fraction [4]
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