Current role and future perspectives of cardiac rehabilitation in coronary heart disease  

作　　者：Eduardo M Vilela Ricardo Ladeiras-Lopes Ana Joao Joana Braga Susana Torres Sofia Viamonte José Ribeiro Madalena Teixeira José P Nunes Ricardo Fontes-Carvalho 

机构地区：[1]Department of Cardiology,Centro Hospitalar de Vila Nova de Gaia/Espinho,Vila Nova de Gaia 4434-502,Portugal [2]Department of Surgery and Physiology,Cardiovascular Research Unit(UnIC),Faculty of Medicine,University of Porto,Porto 4200-319,Portugal [3]Centro de Reabilitação do Norte,Centro Hospitalar de Vila Nova de Gaia/Espinho,Vila Nova de Gaia 4405-565,Portugal [4]Faculty of Medicine,University of Porto,Porto 4200-319,Portugal

出　　处：《World Journal of Cardiology》2021年第12期695-709,共15页世界心脏病学杂志（英文版）（电子版）

摘　　要：Ischaemic heart disease(IHD)is a major cause of morbidity and mortality worldwide.While there have been major advances in this field,these patients are still a higher risk subgroup.As such,strategies to mitigate risk and tailor secondary prevention measures are of the utmost relevance.Cardiac rehabilitation(CR),encompassing several domains including exercise training,cardiovascular risk factor optimization,nutritional and psychological assessments,as well as other ancillary interventions has shown to be one of the pillars in the contemporary management of patients with IHD.Indeed,CR is associated with several benefits in this population,ranging from functional capacity to improvements in outcomes.Whilst this,there are still several issues concerning the optimal application of CR which are still not fully ascertained,such as lack of referral and completion,as well as questions related to programme design(particularly among patients with multiple comorbidities).In this review,we aim at presenting a pragmatic overview on the current role of CR in the management of individuals with IHD,while also discussing some of the caveats in the current data,as well as future concepts which could help improve the uptake and personalization of this pivotal time-tested intervention.

关 键 词：Cardiac rehabilitation Secondary prevention Myocardial infarction Ischaemic heart disease Cardiovascular diseases 

分 类 号：R541.4[医药卫生—心血管疾病]