Abstract
Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.
Highlights
In December 2018, an addendum to the Dutch Multidisciplinary Guideline for Cardiac Rehabilitation concerning cardiac telerehabilitation (CTR) was published [1]
We describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives
cardiac rehabilitation (CR) programmes have mainly been developed for patients with coronary artery disease (CAD), but in the last two decades it has been demonstrated that other cardiac patients benefit from CR as well (Tab. 1; [3, 7])
Summary
In December 2018, an addendum to the Dutch Multidisciplinary Guideline for Cardiac Rehabilitation concerning cardiac telerehabilitation (CTR) was published [1]. We describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives. C. van Hal Department of Cardiology, Slingeland Hospital, Doetinchem, The Netherlands. Jorstad Department of Cardiology, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. Vromen Department of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands. M. R. van der Linde Department of Cardiology, Nij Smellinghe Hospital, Drachten, The Netherlands. Kemps Department of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands. Uszko-Lencer Department of Research and Education, Centre of Expertise for Chronic Organ Failure (CIRO+), Horn, The Netherlands. Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation 443
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
