Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation
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Increasing awareness of the importance of cardiovascular prevention is not yet matched by the resources and actions within health care systems. Recent publication of the European Commission's European Heart Health Charter in 2008 prompts a review of the role of cardiac rehabilitation (CR) to cardiovascular health outcomes. Secondary prevention through exercise-based CR is the intervention with the best scientific evidence to contribute to decrease morbidity and mortality in coronary artery disease, in particular after myocardial infarction but also incorporating cardiac interventions and chronic stable heart failure. The present position paper aims to provide the practical recommendations on the core components and goals of CR intervention in different cardiovascular conditions, to assist in the design and development of the programmes, and to support healthcare providers, insurers, policy makers and consumers in the recognition of the comprehensive nature of CR. Those charged with responsibility for secondary prevention of cardiovascular disease, whether at European, national or individual centre level, need to consider where and how structured programmes of CR can be delivered to all patients eligible. Thus a novel, disease-oriented document has been generated, where all components of CR for cardiovascular conditions have been revised, presenting both well-established and controversial aspects. A general table applicable to all cardiovascular conditions and specific tables for each clinical disease have been created and commented.
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Information is available for evidence-based aerobic exercise training prescription in specific subpopulations of cardiac patients.
“Information is available for evidencebased aerobic exercise training prescription in specific subpopulations of cardiac patients.205”
From European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) (2012) · cites this paper as [205]
Whether rehabilitation is ambulatory or residential is probably of lesser importance; duration, educational level, and patient motivation are also important for long-term outcome.
“Whether the rehabilitation course is applied in an ambulatory setting or as a residential course is probably of lesser importance; the duration of the programme, the educational level, and the motivation of the patient are also important for long-term outcome.205”
From European Guidelines on cardiovascular disease prevention in clinical practice (version 2012) (2012) · cites this paper as [205]
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Pogosova, N., Saner, H., Pedersen, S. S., Cupples, M. E., McGee, H., Höfer, S., Doyle, F., Schmid, J.-P., von Känel, R., & on behalf of the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487314543075 · Cited by 292 · see citing works
Self-citationHuang, K., Liu, W., He, D., Huang, B., Xiao, D., Peng, Y., He, Y., Hu, H., Chen, M., & Huang, D. (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487314561168 · Cited by 234 · see citing works
F. Piepoli, M. (2017) · International Journal of Behavioral Medicine · doi:10.1007/s12529-016-9583-6 · Cited by 162 · see citing works
Hollings, M., Mavros, Y., Freeston, J., & Fiatarone Singh, M. (2017) · European Journal of Preventive Cardiology · doi:10.1177/2047487317713329 · Cited by 148 · see citing works
Brørs, G., Pettersen, T. R., Hansen, T. B., Fridlund, B., Hølvold, L. B., Lund, H., & Norekvål, T. M. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4106-1 · Cited by 67 · see citing works
Karjalainen, J. J., Kiviniemi, A. M., Hautala, A. J., Piira, O.-P., Lepojärvi, E. S., Perkiömäki, J. S., Junttila, M. J., Huikuri, H. V., & Tulppo, M. P. (2015) · Diabetes Care · doi:10.2337/dc14-2216 · Cited by 60 · see citing works
Lifestyle modification in secondary prevention
Piepoli, M. F., & Villani, G. Q. (2017) · European Journal of Preventive Cardiology · doi:10.1177/2047487317703828 · Cited by 33 · see citing works
Self-citation
- Authors
- Piepoli, M. F., Corrà, U., Benzer, W., Bjarnason-Wehrens, B., Dendale, P., Gaita, D., McGee, H., Mendes, M., Niebauer, J., Zwisler, A.-D. O., & Schmid, J.-P.
- Affiliations
- Guglielmo da Saliceto Hospital (IT)
- Heart Failure Unit, Cardiac Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
- ORCID
- Venue
- European Journal of Cardiovascular Prevention & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02
- Volume
- 17
- Issue
- 1
- Pages
- 1-17
- ISSN
- 1741-8267 (ISSN-L)
- OpenAlex
- W2169065712
- Cited by
- 796
- References
- 69
- Citations by year
- 2026: 16 · 2025: 18 · 2024: 22 · 2023: 44 · 2022: 36 · 2021: 37 · 2020: 68 · 2019: 58 · 2018: 62 · 2017: 65 · 2016: 75 · 2015: 60 · 2014: 49 · 2013: 66 · 2012: 53
- FWCI
- 39.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- cardiac rehabilitation, secondary prevention, cardiovascular disease, exercise rehabilitation, coronary artery disease, myocardial infarction, heart failure
- MeSH terms
- Antihypertensive Agents, Hypolipidemic Agents, Attitude of Health Personnel, Awareness, Counseling, Europe, Exercise Therapy, Female, Heart Diseases, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Education as Topic, Risk Factors, Societies, Medical, Weight Loss, Smoking Cessation, Treatment Outcome, Delivery of Health Care, Integrated, Evidence-Based Medicine, Risk Reduction Behavior, Nutrition Therapy, Secondary Prevention
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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