University of California, 9300 Campus Point Drive, La Jolla, San Diego, CA, 92037, USA.
Curr Cardiol Rep. 2021 Mar 11;23(5):42. doi: 10.1007/s11886-021-01482-7.
The COVID-19 pandemic has forced many center-based cardiac rehabilitation (CBCR) programs to close or limit their usual offerings. In order for patients to continue to benefit from CR, programs need to rapidly adapt to the current environment. This review highlights ways CR has evolved, and reviews the history of CR and recent advancements in telemedicine including remote patient monitoring, and mobile health that can be applied to CR.
Despite that initial studies indicate that home-based CR (HBCR) is safe and effective, HBCR has faced several challenges that have prevented it from becoming more widely implemented. Many previous concerns can now be addressed through the use of new innovations in home-based healthcare delivery. Since its inception, CR has become increasingly recognized as an important tool to improve patient mortality and quality of life in a broad range of cardiac diseases. While there has been little need to modify the delivery of CR since the 1950s, COVID-19 now serves as the necessary impetus to make HBCR an equal alternative to CBCR.
COVID-19 大流行迫使许多以中心为基础的心脏康复（CBCR）项目关闭或限制其常规服务。为了使患者继续从 CR 中受益，项目需要迅速适应当前环境。本综述重点介绍了 CR 的发展方式，并回顾了 CR 的历史和远程医疗的最新进展，包括远程患者监测和移动健康，这些都可以应用于 CR。
尽管最初的研究表明，家庭为基础的心脏康复（HBCR）是安全有效的，但 HBCR 面临着一些挑战，这些挑战阻止了它更广泛的实施。许多以前的担忧现在可以通过使用家庭医疗服务的新创新来解决。自成立以来，CR 已越来越被认为是改善广泛心脏病患者死亡率和生活质量的重要工具。虽然自 20 世纪 50 年代以来，CR 的实施方式几乎不需要改变，但 COVID-19 现在成为使 HBCR 成为 CBCR 的平等替代方案的必要动力。
