Thomas Randal J, Huang Hsu-Hang
Mayo Clinic Cardiac Rehabilitation Program, Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USA.
Curr Treat Options Cardiovasc Med. 2019 Sep 5;21(10):56. doi: 10.1007/s11936-019-0759-7.
To provide updated information on the science and practice of cardiac rehabilitation (CR).
Evidence continues to mount that supports the many benefits of CR as well as the important gap in delivering CR to all eligible patients. Recent studies have identified center-based and home-based strategies to improve the reach and impact of CR. Cardiac rehabilitation is a systematic, evidence-based approach to deliver effective secondary CVD preventive therapies to individuals with cardiovascular conditions. Because of a number of benefits that have been associated with CR, clinical practice guidelines strongly endorse CR services for eligible patients. Research supports CR as a high value service, with evidence of favorable clinical outcomes and costs. Unfortunately, a significant gap exists in CR participation due to a number of patient-, provider-, and system-level barriers. Solutions to most of these barriers have been identified and involve systematic approaches to CR delivery. The future is bright for CR as new strategies, new policies, and new methods of delivery continue to develop to help provide CR services to all eligible patients.
提供关于心脏康复（CR）科学与实践的最新信息。
支持CR诸多益处的证据不断增加，同时在为所有符合条件的患者提供CR方面存在重大差距。近期研究已确定基于中心和基于家庭的策略，以提高CR的覆盖范围和影响力。心脏康复是一种系统的、基于证据的方法，旨在为患有心血管疾病的个体提供有效的二级心血管疾病预防治疗。由于与CR相关的诸多益处，临床实践指南强烈支持为符合条件的患者提供CR服务。研究支持CR作为一项高价值服务，有证据表明其临床结果良好且成本效益高。不幸的是，由于患者、提供者和系统层面的多种障碍，CR参与率存在显著差距。已确定了大多数这些障碍的解决方案，包括CR实施的系统方法。随着新策略、新政策和新实施方法不断发展，以帮助为所有符合条件的患者提供CR服务，CR的未来前景光明。
