Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?

Many people with heart failure do not receive cardiac rehabilitation despite a strong evidence base attesting to its effectiveness, and national and international guideline recommendations. A more holistic approach to heart failure rehabilitation is proposed as an alternative to the predominant focu...

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Main Authors: David R Thompson, Chantal F Ski, Alexander M Clark, Hasnain M Dalal, Rodney S Taylor
Format: Article
Language:English
Published: Radcliffe Medical Media 2022-09-01
Series:Cardiac Failure Review
Online Access:https://www.cfrjournal.com/articleindex/cfr.2022.16
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author David R Thompson
Chantal F Ski
Alexander M Clark
Hasnain M Dalal
Rodney S Taylor
author_facet David R Thompson
Chantal F Ski
Alexander M Clark
Hasnain M Dalal
Rodney S Taylor
author_sort David R Thompson
collection DOAJ
description Many people with heart failure do not receive cardiac rehabilitation despite a strong evidence base attesting to its effectiveness, and national and international guideline recommendations. A more holistic approach to heart failure rehabilitation is proposed as an alternative to the predominant focus on exercise, emphasising the important role of education and psychosocial support, and acknowledging that this depends on patient need, choice and preference. An individualised, needs-led approach, exploiting the latest digital technologies when appropriate, may help fill existing gaps, improve access, uptake and completion, and ensure optimal health and wellbeing for people with heart failure and their families. Exercise, education, lifestyle change and psychosocial support should, as core elements, unless contraindicated due to medical reasons, be offered routinely to people with heart failure, but tailored to individual circumstances, such as with regard to age and frailty, and possibly for recipients of cardiac implantable electronic devices or left ventricular assist devices.
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publishDate 2022-09-01
publisher Radcliffe Medical Media
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series Cardiac Failure Review
spelling doaj-art-e4e1f0e82faf4e9d986089107730dd3f2025-08-20T02:39:18ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592022-09-01810.15420/cfr.2022.16Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?David R Thompson0Chantal F Ski1Alexander M Clark2Hasnain M Dalal3Rodney S Taylor4School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UKIntegrated Care Academy, University of Suffolk, Ipswich, UKSchool of Health Disciplines, Athabasca University, Edmonton, CanadaCollege of Medicine and Health, University of Exeter, Exeter, UKInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UKMany people with heart failure do not receive cardiac rehabilitation despite a strong evidence base attesting to its effectiveness, and national and international guideline recommendations. A more holistic approach to heart failure rehabilitation is proposed as an alternative to the predominant focus on exercise, emphasising the important role of education and psychosocial support, and acknowledging that this depends on patient need, choice and preference. An individualised, needs-led approach, exploiting the latest digital technologies when appropriate, may help fill existing gaps, improve access, uptake and completion, and ensure optimal health and wellbeing for people with heart failure and their families. Exercise, education, lifestyle change and psychosocial support should, as core elements, unless contraindicated due to medical reasons, be offered routinely to people with heart failure, but tailored to individual circumstances, such as with regard to age and frailty, and possibly for recipients of cardiac implantable electronic devices or left ventricular assist devices.https://www.cfrjournal.com/articleindex/cfr.2022.16
spellingShingle David R Thompson
Chantal F Ski
Alexander M Clark
Hasnain M Dalal
Rodney S Taylor
Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
Cardiac Failure Review
title Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
title_full Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
title_fullStr Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
title_full_unstemmed Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
title_short Why Do so Few People with Heart Failure Receive Cardiac Rehabilitation?
title_sort why do so few people with heart failure receive cardiac rehabilitation
url https://www.cfrjournal.com/articleindex/cfr.2022.16
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