Cardiopulmonary Physiotherapy Laboratory, Federal University of São Carlos, São Carlos, SP, Brazil.
Cardiopulmonary Physiotherapy Laboratory, Federal University of São Carlos, São Carlos, SP, Brazil.
Prog Cardiovasc Dis. 2014 Mar-Apr;56(5):536-42. doi: 10.1016/j.pcad.2013.09.008. Epub 2013 Oct 11.
Cardiovascular diseases (CVD) are among the leading causes of morbidity and mortality in Brazil. Cardiac rehabilitation (CR) is a program composed of structured exercise training, comprehensive education and counseling to positively impact functional, psychological, social, and quality of life aspects in these patients. However, the delivery of formal CR programs is limited to major metropolitan centers in Brazil and does not exist in much of the national territory, specifically in the North and Northeast regions. Barriers to the inclusion of qualified patients are lack of referral by the health professionals, as well as transportation difficulties, low income, lack of insurance coverage, and low educational level. Government efforts to implement CR programs on a broader scale, to reach a larger portion of the CVD population, are imperative. Additional research must be focused on the assessment of CR referral and adherence patterns as well as the effectiveness of different CR delivery models.
心血管疾病（CVD）是巴西发病率和死亡率的主要原因之一。心脏康复（CR）是一个由结构化运动训练、综合教育和咨询组成的项目，旨在积极影响这些患者的功能、心理、社会和生活质量方面。然而，正式的 CR 项目的提供仅限于巴西的主要大都市中心，在巴西的大部分地区并不存在，特别是在北部和东北部地区。有资格的患者被纳入的障碍包括卫生专业人员缺乏转介，以及交通困难、收入低、缺乏保险覆盖和教育水平低。政府必须努力更广泛地实施 CR 项目，以覆盖更多 CVD 患者。必须进一步研究 CR 转诊和坚持模式的评估以及不同 CR 提供模式的效果。
