Cusmano Ignazio, Loguercio Monica, Di Salvo Francesca, Gonella Stefano, Ambrosetti Marco, Morici Nuccia
Cardiac Rehabilitation Unit, IRCCS S. Maria Nascente-Fondazione Don Carlo Gnocchi ONLUS, Via Alfonso Capecelatro 66, 20149, Milan, Italy.
Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta D'Adda, Italy.
Intern Emerg Med. 2025 Aug 29. doi: 10.1007/s11739-025-04102-2.
A growing body of evidence underscores the importance of investigating the patient journey in managing systemic disorders. This is particularly relevant in heart failure (HF), a condition in which achieving long-term outcomes requires advancements in the early detection, accurate diagnosis, and comprehensive treatment of HF throughout the patient's care experience. Addressing this challenge necessitates tackling critical barriers, including workforce shortages, insufficient funding, and limited awareness of HF care among both healthcare providers and patients. Cardiac rehabilitation (CR) plays a pivotal role within the continuum of care, serving as a cornerstone for engaging and motivating patients and caregivers. Despite its recognized value, gaps persist in the integration of CR into interconnected care networks and the broader healthcare system. This paper seeks to highlight the essential role of CR as a "bridging tool" to promote patient stabilization, emphasizing the implementation of guideline-directed medical therapy, as well as fostering patient education and empowerment. Achieving this integration requires embedding CR as a central component within the comprehensive management pathway for patients with HF.
越来越多的证据强调了在管理全身性疾病时调查患者就医过程的重要性。这在心力衰竭（HF）中尤为相关，在这种疾病中，要实现长期预后，需要在患者整个护理过程中，在心力衰竭的早期检测、准确诊断和综合治疗方面取得进展。应对这一挑战需要克服关键障碍，包括劳动力短缺、资金不足以及医疗服务提供者和患者对心力衰竭护理的认识有限。心脏康复（CR）在连续护理中起着关键作用，是吸引和激励患者及护理人员的基石。尽管其价值已得到认可，但在将心脏康复纳入相互关联的护理网络和更广泛的医疗系统方面仍存在差距。本文旨在强调心脏康复作为促进患者病情稳定的“桥梁工具”的重要作用，强调实施指南指导的药物治疗，以及促进患者教育和赋权。实现这种整合需要将心脏康复作为心力衰竭患者综合管理途径的核心组成部分。
