Bozkurt Biykem, Fonarow Gregg C, Goldberg Lee R, Guglin Maya, Josephson Richard A, Forman Daniel E, Lin Grace, Lindenfeld JoAnn, O'Connor Chris, Panjrath Gurusher, Piña Ileana L, Shah Tina, Sinha Shashank S, Wolfel Eugene
Winters Center for Heart Failure, Cardiovascular Research Institute, Baylor College of Medicine and DeBakey VA Medical Center, Houston, Texas, USA.
Ahmanson-UCLA Cardiomyopathy Center, Division of Cardiology, University of California-Los Angeles, Los Angeles, California, USA.
J Am Coll Cardiol. 2021 Mar 23;77(11):1454-1469. doi: 10.1016/j.jacc.2021.01.030.
Cardiac rehabilitation is defined as a multidisciplinary program that includes exercise training, cardiac risk factor modification, psychosocial assessment, and outcomes assessment. Exercise training and other components of cardiac rehabilitation (CR) are safe and beneficial and result in significant improvements in quality of life, functional capacity, exercise performance, and heart failure (HF)-related hospitalizations in patients with HF. Despite outcome benefits, cost-effectiveness, and strong practice guideline recommendations, CR remains underused. Clinicians, health care leaders, and payers should prioritize incorporating CR as part of the standard of care for patients with HF.
心脏康复被定义为一个多学科项目，包括运动训练、心脏危险因素修正、心理社会评估和结果评估。运动训练及心脏康复（CR）的其他组成部分是安全且有益的，可显著改善心力衰竭（HF）患者的生活质量、功能能力、运动表现以及与HF相关的住院情况。尽管有预后益处、成本效益以及强有力的实践指南推荐，但CR的应用仍然不足。临床医生、医疗保健领导者和支付方应优先将CR纳入HF患者的标准治疗方案。
