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 journalReview articlepeer-review

12 Citations (Web of Science)

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 languageEnglish
Pages (from-to)443-451
Number of pages9
JournalNetherlands Heart Journal
Volume28
Issue number9
DOIs
Publication statusPublished - 1 Sep 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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