PLoS ONE,
Journal Year:
2023,
Volume and Issue:
18(5), P. e0285801 - e0285801
Published: May 31, 2023
Background
Cardiac
rehabilitation
(CR)
is
an
evidence-based
comprehensive
program
that
includes
exercise
training,
health
education,
physical
activity
promotion,
and
extensive
counseling
for
the
management
of
cardiovascular
risk
factors.
Wearable
devices
monitor
certain
physiological
functions,
providing
biometric
data
such
as
heart
rate,
movement,
sleep,
ECG
analysis,
blood
pressure,
energy
expenditure,
numerous
other
parameters.
Recent
evidence
supports
wearable
a
likely
relevant
component
in
assessment
disease
prevention.
The
purpose
this
scoping
review
to
better
understand
role
home-based
CR
(HBCR)
characterize
regarding
incorporation
HBCR
programs
outcomes.
Methods
&
findings
We
created
search
strategy
multiple
databases,
including
PubMed,
Embase
(Elsevier),
CINAHL
(Ebsco),
Cochrane
CENTRAL
(Wiley),
Scopus
(Elsevier).
Studies
were
included
if
patients
eligible
per
Medicare
guidelines
>18
years
age
some
type
device
was
utilized
during
HBCR.
Our
yielded
57
studies
meeting
all
criteria.
classified
into
4
groups:
with
coronary
(CHD)
without
failure
(HF);
HF;
valve
repair
or
replacement;
exposure
center-based
CR.
In
three
groups,
there
upward
trend
toward
improvement
quality
life
(QOL)
peak
VO2,
less
sedentary
time,
increase
daily
step
count
intervention
groups
compared
control
groups.
Conclusions
using
can
be
comparable
alternative
adjunct
CHD
HF.
More
are
needed
draw
conclusions
about
comparability
replacement.
Circulation,
Journal Year:
2023,
Volume and Issue:
148(9)
Published: July 20, 2023
AIM:
The
“2023
AHA/ACC/ACCP/ASPC/NLA/PCNA
Guideline
for
the
Management
of
Patients
With
Chronic
Coronary
Disease”
provides
an
update
to
and
consolidates
new
evidence
since
“2012
ACCF/AHA/ACP/AATS/PCNA/SCAI/STS
Diagnosis
Stable
Ischemic
Heart
corresponding
“2014
ACC/AHA/AATS/PCNA/SCAI/STS
Focused
Update
Disease.”
METHODS:
A
comprehensive
literature
search
was
conducted
from
September
2021
May
2022.
Clinical
studies,
systematic
reviews
meta-analyses,
other
on
human
participants
were
identified
that
published
in
English
MEDLINE
(through
PubMed),
EMBASE,
Cochrane
Library,
Agency
Healthcare
Research
Quality,
selected
databases
relevant
this
guideline.
STRUCTURE:
This
guideline
evidenced-based
patient-centered
approach
management
patients
with
chronic
coronary
disease,
considering
social
determinants
health
incorporating
principles
shared
decision-making
team-based
care.
Relevant
topics
include
general
approaches
treatment
decisions,
guideline-directed
therapy
reduce
symptoms
future
cardiovascular
events,
pertaining
revascularization
recommendations
special
populations,
patient
follow-up
monitoring,
gaps,
areas
need
research.
Where
applicable,
based
availability
cost-effectiveness
data,
cost–value
are
also
provided
clinicians.
Many
previously
guidelines
have
been
updated
evidence,
created
when
supported
by
data.
European Heart Journal,
Journal Year:
2023,
Volume and Issue:
44(17), P. 1511 - 1518
Published: March 11, 2023
Abstract
Cardiac
rehabilitation
remains
the
‘Cinderella’
of
treatments
for
heart
failure.
This
state-of-the-art
review
provides
a
contemporary
update
on
evidence
base,
clinical
guidance,
and
status
cardiac
delivery
patients
with
Given
that
participation
results
in
important
improvements
patient
outcomes,
including
health-related
quality
life,
this
argues
an
exercise-based
is
key
pillar
failure
management
alongside
drug
medical
device
provision.
To
drive
future
access
uptake,
health
services
should
offer
choice
evidence-based
modes
delivery,
home,
supported
by
digital
technology,
traditional
centre-based
programmes
(or
combinations
modes,
‘hybrid’)
according
to
stage
disease
preference.
Global Heart,
Journal Year:
2024,
Volume and Issue:
19(1)
Published: Jan. 1, 2024
Background:
Secondary
prevention
lifestyle
and
pharmacological
treatment
of
atherosclerotic
cardiovascular
disease
(ASCVD)
reduce
a
high
proportion
recurrent
events
mortality.
However,
significant
gaps
exist
between
guideline
recommendations
usual
clinical
practice.
Objectives:
Describe
the
state
art,
roadblocks,
successful
strategies
to
overcome
them
in
ASCVD
secondary
management.
Methods:
A
writing
group
reviewed
guidelines
research
papers
received
inputs
from
an
international
committee
composed
health
systems
experts
about
article's
structure,
content,
draft.
Finally,
external
expert
paper.
Results:
Smoking
cessation,
physical
activity,
diet
weight
management,
antiplatelets,
statins,
beta-blockers,
renin-angiotensin-aldosterone
system
inhibitors,
cardiac
rehabilitation
Potential
roadblocks
may
occur
at
individual,
healthcare
provider,
levels
include
lack
access
medicines,
inertia,
primary
care
infrastructure
or
built
environments
that
support
preventive
behaviours.
Possible
solutions
improving
literacy,
self-management
strategies,
national
policies
improve
medication
(including
fix-dose
combination
therapy),
implementing
programs,
incorporating
digital
interventions.
Digital
tools
are
being
examined
range
settings
enhancing
self-management,
risk
factor
control,
rehab.
Conclusions:
Effective
for
management
exist,
but
there
barriers
their
implementation.
WHF
roadmaps
can
facilitate
development
strategic
plan
identify
implement
local
level
approaches
prevention.
Canadian Journal of Cardiology,
Journal Year:
2023,
Volume and Issue:
39(11), P. S375 - S383
Published: Sept. 25, 2023
Cardiac
rehabilitation
(CR)
programs
are
underutilized
globally,
especially
by
women.
In
this
study
we
investigated
sex
differences
in
CR
barriers
across
all
world
regions,
to
our
knowledge
for
the
first
time,
characteristics
associated
with
greater
women,
and
women's
greatest
according
enrollment
status.
