Silveira Conceição, Abreu Ana
Hospital das Forças Armadas, Polo de Lisboa, Lisboa, Portugal; Grupo de Estudo de Fisiopatologia do Esforço e Reabilitação Cardíaca, Sociedade Portuguesa de Cardiologia.
Centro Hospitalar de Lisboa Central, EPE - Hospital de Santa Marta, Lisboa, Portugal; Grupo de Estudo de Fisiopatologia do Esforço e Reabilitação Cardíaca, Sociedade Portuguesa de Cardiologia.
Rev Port Cardiol. 2016 Dec;35(12):659-668. doi: 10.1016/j.repc.2016.06.006. Epub 2016 Nov 17.
In recent years, cardiac rehabilitation (CR) programs have evolved from being limited to exercise training to comprehensive secondary prevention programs. Given the solid scientific evidence supporting them, they are given a class I recommendation in the American and European guidelines for various cardiovascular diseases, but they continue to be underused in Portugal.
To analyze the situation of CR programs in Portugal in 2013-14 and to assess developments in recent years.
In November 2014, a questionnaire was sent to the centers offering CR programs that included the following items: name of the center; composition of the team; phases and components; number of participants and diagnoses; and funding bodies. The percentage of patients with myocardial infarction admitted to phase II CR programs in 2013 was calculated based on data from the Directorate-General of Health (DGS).
Twenty-three centers offering CR programs were identified, 12 public and 11 private. The number of centers rose from 16 in 2007 to 23 in 2014. In 2013, 1927 patients participated in phase II programs, nearly three times the number rehabilitated in 2007 (638 patients). Myocardial infarction was the referral diagnosis in 999 patients, accounting for 51.8% of admissions. On the basis of DGS data, 8% of patients with myocardial infarction were admitted to phase II CRPs in 2013, as opposed to 3% in 2007.
The number of patients admitted to CR programs, as well as the number of centers, increased considerably between 2007 and 2014 in Portugal. Despite these favorable developments, further improvements are still needed.
近年来，心脏康复（CR）项目已从仅限于运动训练发展为全面的二级预防项目。鉴于有确凿的科学证据支持这些项目，它们在美国和欧洲针对各种心血管疾病的指南中被给予I类推荐，但在葡萄牙它们的使用仍然不足。
分析2013 - 2014年葡萄牙心脏康复项目的情况，并评估近年来的发展。
2014年11月，向提供心脏康复项目的中心发送了一份问卷，其中包括以下项目：中心名称；团队组成；阶段和组成部分；参与者数量和诊断情况；以及资助机构。根据卫生部（DGS）的数据计算了2013年进入II期心脏康复项目的心肌梗死患者的百分比。
确定了23个提供心脏康复项目的中心，其中12个是公立的，11个是私立的。中心数量从2007年的16个增加到2014年的23个。2013年，1927名患者参加了II期项目，几乎是2007年康复患者数量（638名）的三倍。999名患者的转诊诊断为心肌梗死，占入院人数的51.8%。根据卫生部的数据，2013年8%的心肌梗死患者进入了II期心脏康复项目，而2007年为3%。
2007年至2014年期间，葡萄牙进入心脏康复项目的患者数量以及中心数量都有显著增加。尽管有这些良好的发展，但仍需要进一步改进。
