Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

R.W.M. Brouwers; H.J. van Exel; J.M.C. van Hal; H.T. Jorstad; E.P. de Kluiver; R.A. Kraaijenhagen; P.M.J.C. Kuijpers; M.R. van der Linde; R.F. Spee; M. Sunamura; N.H.M.K. Uszko-Lencer; T. Vromen; M.E. Wittekoek; H.M.C. Kemps; Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology

doi:10.1007/s12471-020-01432-y

Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

R.W.M. Brouwers^*, H.J. van Exel, J.M.C. van Hal, H.T. Jorstad, E.P. de Kluiver, R.A. Kraaijenhagen, P.M.J.C. Kuijpers, M.R. van der Linde, R.F. Spee, M. Sunamura, N.H.M.K. Uszko-Lencer, T. Vromen, M.E. Wittekoek, H.M.C. Kemps, Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.

Original language	English
Pages (from-to)	443-451
Number of pages	9
Journal	Netherlands Heart Journal
Volume	28
Issue number	9
DOIs	https://doi.org/10.1007/s12471-020-01432-y
Publication status	Published - 1 Sept 2020

Keywords

acute myocardial-infarction
cardiac rehabilitation
cardiac telerehabilitation
chronic heart failure
coronary artery disease
coronary-heart-disease
cost-effectiveness
determinants
participation
physical-activity
prescription
programs
randomized controlled-trial
secondary prevention
telemonitoring
DETERMINANTS
Chronic heart failure
RANDOMIZED CONTROLLED-TRIAL
Cardiac telerehabilitation
SECONDARY PREVENTION
PRESCRIPTION
PROGRAMS
Cardiac rehabilitation
ACUTE MYOCARDIAL-INFARCTION
Telemonitoring
PARTICIPATION
COST-EFFECTIVENESS
Coronary artery disease
PHYSICAL-ACTIVITY
CORONARY-HEART-DISEASE

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Brouwers, R. W. M., van Exel, H. J., van Hal, J. M. C., Jorstad, H. T., de Kluiver, E. P., Kraaijenhagen, R. A., Kuijpers, P. M. J. C., van der Linde, M. R., Spee, R. F., Sunamura, M., Uszko-Lencer, N. H. M. K., Vromen, T., Wittekoek, M. E., Kemps, H. M. C., & Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology (2020). Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation. Netherlands Heart Journal, 28(9), 443-451. https://doi.org/10.1007/s12471-020-01432-y

@article{dbe27434a0da4e458697221c6ccdda1f,

title = "Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation",

abstract = "Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.",

keywords = "acute myocardial-infarction, cardiac rehabilitation, cardiac telerehabilitation, chronic heart failure, coronary artery disease, coronary-heart-disease, cost-effectiveness, determinants, participation, physical-activity, prescription, programs, randomized controlled-trial, secondary prevention, telemonitoring, DETERMINANTS, Chronic heart failure, RANDOMIZED CONTROLLED-TRIAL, Cardiac telerehabilitation, SECONDARY PREVENTION, PRESCRIPTION, PROGRAMS, Cardiac rehabilitation, ACUTE MYOCARDIAL-INFARCTION, Telemonitoring, PARTICIPATION, COST-EFFECTIVENESS, Coronary artery disease, PHYSICAL-ACTIVITY, CORONARY-HEART-DISEASE",

author = "R.W.M. Brouwers and {van Exel}, H.J. and {van Hal}, J.M.C. and H.T. Jorstad and {de Kluiver}, E.P. and R.A. Kraaijenhagen and P.M.J.C. Kuijpers and {van der Linde}, M.R. and R.F. Spee and M. Sunamura and N.H.M.K. Uszko-Lencer and T. Vromen and M.E. Wittekoek and H.M.C. Kemps and {Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology}",

note = "Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

month = sep,

day = "1",

doi = "10.1007/s12471-020-01432-y",

language = "English",

volume = "28",

pages = "443--451",

journal = "Netherlands Heart Journal",

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Brouwers, RWM, van Exel, HJ, van Hal, JMC, Jorstad, HT, de Kluiver, EP, Kraaijenhagen, RA, Kuijpers, PMJC, van der Linde, MR, Spee, RF, Sunamura, M, Uszko-Lencer, NHMK, Vromen, T, Wittekoek, ME, Kemps, HMC & Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology 2020, 'Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation', Netherlands Heart Journal, vol. 28, no. 9, pp. 443-451. https://doi.org/10.1007/s12471-020-01432-y

TY - JOUR

T1 - Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

AU - Brouwers, R.W.M.

AU - van Exel, H.J.

AU - van Hal, J.M.C.

AU - Jorstad, H.T.

AU - de Kluiver, E.P.

AU - Kraaijenhagen, R.A.

AU - Kuijpers, P.M.J.C.

AU - van der Linde, M.R.

AU - Spee, R.F.

AU - Sunamura, M.

AU - Uszko-Lencer, N.H.M.K.

AU - Vromen, T.

AU - Wittekoek, M.E.

AU - Kemps, H.M.C.

AU - Committee for Cardiovascular Prevention and Cardiac Rehabilitation of the Netherlands Society of Cardiology

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.

AB - Multidisciplinary cardiac rehabilitation (CR) reduces morbidity and mortality and increases quality of life in cardiac patients. However, CR utilisation rates are low, and targets for secondary prevention of cardiovascular disease are not met in the majority of patients, indicating that secondary prevention programmes such as CR leave room for improvement. Cardiac telerehabilitation (CTR) may resolve several barriers that impede CR utilisation and sustainability of its effects. In CTR, one or more modules of CR are delivered outside the environment of the hospital or CR centre, using monitoring devices and remote communication with patients. Multidisciplinary CTR is a safe and at least equally (cost-)effective alternative to centre-based CR, and is therefore recommended in a recent addendum to the Dutch multidisciplinary CR guidelines. In this article, we describe the background and core components of this addendum on CTR, and discuss its implications for clinical practice and future perspectives.

KW - acute myocardial-infarction

KW - cardiac rehabilitation

KW - cardiac telerehabilitation

KW - chronic heart failure

KW - coronary artery disease

KW - coronary-heart-disease

KW - cost-effectiveness

KW - determinants

KW - participation

KW - physical-activity

KW - prescription

KW - programs

KW - randomized controlled-trial

KW - secondary prevention

KW - telemonitoring

KW - DETERMINANTS

KW - Chronic heart failure

KW - RANDOMIZED CONTROLLED-TRIAL

KW - Cardiac telerehabilitation

KW - SECONDARY PREVENTION

KW - PRESCRIPTION

KW - PROGRAMS

KW - Cardiac rehabilitation

KW - ACUTE MYOCARDIAL-INFARCTION

KW - Telemonitoring

KW - PARTICIPATION

KW - COST-EFFECTIVENESS

KW - Coronary artery disease

KW - PHYSICAL-ACTIVITY

KW - CORONARY-HEART-DISEASE

U2 - 10.1007/s12471-020-01432-y

DO - 10.1007/s12471-020-01432-y

M3 - (Systematic) Review article

C2 - 32495296

SN - 1568-5888

VL - 28

SP - 443

EP - 451

JO - Netherlands Heart Journal

JF - Netherlands Heart Journal

IS - 9

ER -

Cardiac telerehabilitation as an alternative to centre-based cardiac rehabilitation

Abstract

Keywords

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