Greco Cesare, Cacciatore Giuseppe, Gulizia Michele, Martinelli Luigi, Oliva Fabrizio, Olivari Zoran, Seccareccia Fulvia, Temporelli Pier Luigi, Urbinati Stefano
Monaldi Arch Chest Dis. 2011 Mar;76(1):1-12. doi: 10.4081/monaldi.2011.200.
Current guidelines state that cardiac rehabilitation is indicated after the acute phase of major cardiovascular diseases and interventions; on the other hand implementation of these indications is difficult because of several barriers, i.e. the number of patients per year with an indication exceeds by far the accommodation offer of cardiac rehabilitation centers; the demand for access to cardiac rehabilitation from acute cardiac care hospitals is low because the attention is focused on the acute phase of cardiac diseases. The present Consensus Document describes the changes in clinical epidemiology of the main cardiovascular diseases, showing that complications are increasingly more frequent in the postacute phase, especially in the setting of myocardial infarction. The Joint ANMCO/IACPR-GICR Committee defines priority criteria based on clinical risk for admission to cardiac rehabilitation centers as inpatients. This Consensus Document represents, therefore, an important step forward in the search for continuity of care in high-risk patients during the post-acute phase.
当前指南指出，在重大心血管疾病及干预措施的急性期过后，应进行心脏康复；另一方面，由于存在若干障碍，这些指征的实施存在困难，即每年有指征的患者数量远远超过心脏康复中心的接纳能力；急性心脏护理医院对心脏康复的需求较低，因为注意力集中在心脏病的急性期。本共识文件描述了主要心血管疾病临床流行病学的变化，表明并发症在急性期后越来越频繁，尤其是在心肌梗死的情况下。ANMCO/IACPR-GICR联合委员会根据住院患者进入心脏康复中心的临床风险定义了优先标准。因此，本共识文件是在寻求急性期后高危患者护理连续性方面向前迈出的重要一步。
