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Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology
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Secondary prevention through comprehensive cardiac rehabilitation has been recognized as the most cost-effective intervention to ensure favourable outcomes across a wide spectrum of cardiovascular disease, reducing cardiovascular mortality, morbidity and disability, and to increase quality of life. The delivery of a comprehensive and 'modern' cardiac rehabilitation programme is mandatory both in the residential and the out-patient setting to ensure expected outcomes. The present position paper aims to update the practical recommendations on the core components and goals of cardiac rehabilitation intervention in different cardiovascular conditions, in order to assist the whole cardiac rehabilitation staff in the design and development of the programmes, and to support healthcare providers, insurers, policy makers and patients in the recognition of the positive nature of cardiac rehabilitation. Starting from the previous position paper published in 2010, this updated document maintains a disease-oriented approach, presenting both well-established and more controversial aspects. Particularly for implementation of the exercise programme, advances in different training modalities were added and new challenging populations were considered. A general table applicable to all cardiovascular conditions and specific tables for each clinical condition have been created for routine practice.
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Metadata
- Authors
- Ambrosetti, M., Abreu, A., Corrà, U., Davos, C. H., Hansen, D., Frederix, I., Iliou, M. C., Pedretti, R. F. E., Schmid, J.-P., Vigorito, C., Voller, H., Wilhelm, M., Piepoli, M. F., Bjarnason-Wehrens, B., Berger, T., Cohen-Solal, A., Cornelissen, V., Dendale, P., Doehner, W., Gaita, D., Gevaert, A. B., Kemps, H., Kraenkel, N., Laukkanen, J., Mendes, M., Niebauer, J., Simonenko, M., & Zwisler, A.-D. O.
- Affiliations
- Istituti Clinici Scientifici Maugeri (IT)
- Centro Hospitalar Lisboa Norte (PT)
- Academy of Athens (GR)
- Hasselt University (BE)
- Jessa Hospital (BE)
- Université Paris Cité (FR)
- MultiMedica (IT)
- Klinik Barmelweid (CH)
- University of Naples Federico II (IT)
- Klinik am See, Rehabilitation Centre for Internal Medicine, Rüdersdorf and Centre of Rehabilitation Medicine, University Potsdam ,
- University of Bern (CH)
- University of Parma (IT)
- Department of Preventive and Rehabilitative Sport Medicine and Exercise Physiology, Institute for Cardiology and Sports Medicine, German Sport University Cologne ,
- Convent Hospital of the Brothers of Saint John of God (AT)
- Cardiology Department, Hopital Lariboisiere, Paris University ,
- Cardiovascular Exercise Physiology Group, KU Leuven ,
- Berlin-Brandenburger Centrum für Regenerative Therapien (DE)
- University of Medicine & Pharmacy ‘Victor Babes’ Cardiovascular Prevention & Rehabilitation Clinic ,
- University of Antwerp (BE)
- Máxima Medisch Centrum (NL)
- Charité – University Medicine Berlin ,
- Central Finland Health Care District (FI)
- Hospital de Santa Cruz (PT)
- Paracelsus Medical University (AT)
- Federal Almazov North-West Medical Research Centre (RU)
- University of Southern Denmark (DK)
- Corresponding author
- Ambrosetti, Marco
- ORCID
- Ambrosetti, Marco
- Abreu, Ana
- Corrà, Ugo
- Davos, Constantinos H
- Hansen, Dominique
- Frederix, Ines
- Pedretti, Roberto F E
- Schmid, Jean-Paul
- Vigorito, Carlo
- Wilhelm, Matthias
- Piepoli, Massimo F
- Dendale, Paul
- Doehner, Wolfram
- Gevaert, Andreas B
- Kemps, Hareld
- Laukkanen, Jari
- Mendes, Miguel
- Niebauer, Josef
- Simonenko, Maria
- Zwisler, Ann-Dorthe Olsen
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-04-07
- Volume
- 28
- Issue
- 5
- Pages
- 460-495
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W3013503847
- Cited by
- 965
- References
- 168
- Citations by year
- 2026: 128 · 2025: 197 · 2024: 157 · 2023: 166 · 2022: 140 · 2021: 121 · 2020: 55
- FWCI
- 74.56
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Preventive Cardiology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- TU/e Research Portal (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- BOA (University of Milano-Bicocca) (submittedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- publish.UP (University of Potsdam) (submittedVersion)
- Lirias (KU Leuven) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- TU/e Research Portal (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- secondary prevention, cardiac rehabilitation, comprehensive cardiac rehabilitation, exercise training, cardiovascular disease, cardiovascular mortality, quality of life
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