Zhonghua Nei Ke Za Zhi. 2021 Mar 1;60(3):207-215. doi: 10.3760/cma.j.cn112138-20200629-00630.
Cardiac rehabilitation (CR) is a structured evidence-based intervention technology in chronic stage of patients with cardiovascular disease (CVD), including patient education, health behavior modification, drug treatment and exercise training. Evidence has showed that CR therapy further improved secondary prevention outcomes in patients with CVD. However, its utilization rate in China is very low. Among eligible patients, only a few have received CR treatment. Therefore, it is extremely urgent to propose new strategies to improve CR participation. Center guided home-based cardiac rehabilitation (CHBCR) is a potential effective strategy. In contrast to center-based cardiac rehabilitation (CBCR) service under medical supervision, CHBCR relies on remote guidance and indirect exercise supervision, in which patients receive CR at home, not in the traditional cardiac rehabilitation center. The purpose of this consensus is to provide the advantages, indications, contraindications, construction of CHBCR center, core components and quality control of CHBCR, in order to promote the scientific implementation of CHBCR in China, and benefit more cardiovascular disease patients.
心脏康复（CR）是心血管疾病（CVD）患者慢性期一种基于证据的结构化干预技术，包括患者教育、健康行为改变、药物治疗和运动训练。有证据表明，CR治疗进一步改善了CVD患者的二级预防效果。然而，其在中国的利用率非常低。在符合条件的患者中，只有少数人接受了CR治疗。因此，提出新的策略以提高CR参与率迫在眉睫。中心指导的家庭心脏康复（CHBCR）是一种潜在的有效策略。与在医疗监督下的基于中心的心脏康复（CBCR）服务不同，CHBCR依靠远程指导和间接运动监督，患者在家中而非传统的心脏康复中心接受CR。本共识的目的是提供CHBCR的优势、适应证、禁忌证、CHBCR中心的建设、核心组成部分和质量控制，以促进CHBCR在中国的科学实施，使更多心血管疾病患者受益。
