Medicine, University of Vermont, Burlington, Vermont, USA
Medicine, University of Vermont, Burlington, Vermont, USA.
Heart. 2024 Nov 25;110(24):1427-1436. doi: 10.1136/heartjnl-2023-323152.
Cardiac rehabilitation (CR) is a multidisciplinary supervised programme which typically consists of tailored exercise and education on lifestyle management and risk factor modification in cardiac patients. Participation in CR reduces morbidity and mortality, while improving quality of life following major cardiovascular events. Despite the benefits of CR, it is underutilised, generally in the 20%-30% range for eligible patients. Participation and adherence rates are particularly suboptimal in vulnerable populations, such as those of lower socioeconomic status and women. Interventions such as automated referral to CR or hybrid/virtual programmes can increase enrolment to CR. This review summarises the components of CR and provides recommendations for providers regarding participation and adherence. To better engage a larger proportion of CR-eligible patients, CR programmes may need to expand or adjust ways to deliver secondary prevention.
心脏康复（CR）是一种多学科的监督方案，通常包括针对心脏病患者的量身定制的运动和生活方式管理及风险因素改变方面的教育。参加 CR 可降低发病率和死亡率，同时改善重大心血管事件后的生活质量。尽管 CR 有诸多益处，但它的利用率仍然较低，通常在符合条件的患者中占 20%-30%。在社会经济地位较低和女性等弱势群体中，参与和坚持率尤其不理想。诸如自动转介到 CR 或混合/虚拟方案等干预措施可以增加 CR 的参与率。本综述总结了 CR 的组成部分，并就参与和坚持问题为提供者提供了建议。为了使更多符合条件的 CR 患者参与进来，CR 方案可能需要扩大或调整二级预防的实施方式。
