Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.33
W. Choi
접수일 : 2021년 6월 16일 l 게재 승인일 : 2021년 6월 21일 교신저자 : 최원아 06273 서울시 강남구 언주로 211 강남세브란스병원 재활의학과 Tel : 02-2019-3698, Fax : 02-2019-4857, E-mail : reedlove37@yuhs.ac Abstract The respiratory muscle dysfunction due to neuromuscular disease, cervical spinal cord injury or severe kyphoscoliosis is characterized by restrictive ventilator defect which show a decrease in lung volume. In the group of restrictive lung disease, hypoventilation due to reduced lung volume leads to hypercapnia. If respiratory dysfunction progresses and cannot be stopped, the eventual result is ventilatory failure. When this progression toward ventilatory failure is noted, careful follow up and monitoring of hypoventilation symptoms and pulmonary function are necessary to assess the need for ventilatory support to minimize complications and reduce mortality. Pulmonary rehabilitation, which applies non-invasive ventilation support along with various methods of clearing secretions in the airway, relieves respiratory symptoms and consequently contributes to extending life span as well as improving quality of life of patients with restrictive lung disease. Therefore, it is necessary to accurately identify the characteristics of restrictive lung diseases and access appropriate pulmonary rehabilitation based on them.
{"title":"Pulmonary Rehabilitation of Restrictive Lung Diseases","authors":"W. Choi","doi":"10.53476/acpr.2021.1.1.33","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.33","url":null,"abstract":"접수일 : 2021년 6월 16일 l 게재 승인일 : 2021년 6월 21일 교신저자 : 최원아 06273 서울시 강남구 언주로 211 강남세브란스병원 재활의학과 Tel : 02-2019-3698, Fax : 02-2019-4857, E-mail : reedlove37@yuhs.ac Abstract The respiratory muscle dysfunction due to neuromuscular disease, cervical spinal cord injury or severe kyphoscoliosis is characterized by restrictive ventilator defect which show a decrease in lung volume. In the group of restrictive lung disease, hypoventilation due to reduced lung volume leads to hypercapnia. If respiratory dysfunction progresses and cannot be stopped, the eventual result is ventilatory failure. When this progression toward ventilatory failure is noted, careful follow up and monitoring of hypoventilation symptoms and pulmonary function are necessary to assess the need for ventilatory support to minimize complications and reduce mortality. Pulmonary rehabilitation, which applies non-invasive ventilation support along with various methods of clearing secretions in the airway, relieves respiratory symptoms and consequently contributes to extending life span as well as improving quality of life of patients with restrictive lung disease. Therefore, it is necessary to accurately identify the characteristics of restrictive lung diseases and access appropriate pulmonary rehabilitation based on them.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133600038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.1
Seong-Woong Kang
호흡재활이란 교육 및 다양한 기법과 기구를 이용한 포괄적 이고 집중적인 치료를 통해 호흡질환의 증상을 완화시키고 조 절하며, 호흡장애로 인한 합병증을 예방하는 데 도움을 주는 것이다. 재활치료를 통해 환자의 운동능력을 증가시키고 심리 적인 안정감을 높여 줌으로써 환자가 일상생활에서 최적의 기 능 수행능력을 발휘하도록 하는 것이다. 호흡재활에서 호흡질 Abstract Pulmonary rehabilitation is consisted of breathing retraining, respiratory muscle rest, airway secretion elimination, reconditioning exercise, psychosocial support, nutritional support, adequate ventilator support, and patient education. And there are many techniques and devices to relieve and control the symptoms of respiratory diseases and to prevent from respiratory complications. Among them, the point of pulmonary rehabilitation is the non-invasive respiratory care by using respiratory muscle aids. All patients with impairment of pulmonary function can be differentiated into those who have primarily oxygenation impairment from predominantly intrinsic lung or obstructive diseases, and those with mechanical or restrictive lung disease on the basis of respiratory muscle dysfunction and ventilation impairment. The patients with primarily ventilatory impairment can benefit considerably from the use of both inspiratory and expiratory muscle aids. If we understand the pathophysiology of each pulmonary problem and evaluate the patient carefully and timely, we can minimize the respiratory complications through proper ventilatory and coughing support. Reduced respiratory complications can actually decrease the mortality rate. In conclusion, use of non-invasive respiratory aids, taking into account the characterization of respiratory pathophysiology, have made it possible to enhance quality of life as well as prolong the life span.
呼吸康复是指，通过教育及利用多种方法和器械进行全面、集中的治疗，缓解和调节呼吸疾病的症状，并有助于预防呼吸障碍引起的并发症。通过康复治疗，增加患者的运动能力，提高心理上的稳定感，使患者在日常生活中发挥最佳功能执行能力。呼吸康复中的呼吸质量Abstract Pulmonary rehabilitation is consisted of breathing retraining, respiratory muscle rest, airway secretion elimination, reconditioning exercise, psychoso特别support;nutritional support, adequate ventilator support, and patient education。And there are many techniques And devices to relieve And control the symptoms of respiratory diseases And to prevent from respiratory complications。Among them, the point of pulmonary rehabilitation is the non-invasive respiratory care by using respiratory muscle aids。All patients with impairment of pulmonary function can be differentiated into those who have primarily oxygenation impairment from predominantly intrinsic lung or obstructive diseases;the basis of respiratory muscle dysfunction and ventilation impairment。The patients with primarily ventilatory impairment can benefit considerably from The use of both inspiratory and expiratory muscle aids。如果我们得标的话，就会发现我们的牙齿pulmonary problem and evaluate the patient carefully and timelywe can minimize the respiratory complications through proper ventilatory and coughing support。Reduced respiratory complications can actually decrease the mortality rate。In conclusion, use of non-invasive respiratory艾滋病，taking into account the characterization of respiratory pathophysiology，have made it possible to enhance quality of life as well as prolong the life span。
{"title":"Overview of Pulmonary Rehabilitation","authors":"Seong-Woong Kang","doi":"10.53476/acpr.2021.1.1.1","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.1","url":null,"abstract":"호흡재활이란 교육 및 다양한 기법과 기구를 이용한 포괄적 이고 집중적인 치료를 통해 호흡질환의 증상을 완화시키고 조 절하며, 호흡장애로 인한 합병증을 예방하는 데 도움을 주는 것이다. 재활치료를 통해 환자의 운동능력을 증가시키고 심리 적인 안정감을 높여 줌으로써 환자가 일상생활에서 최적의 기 능 수행능력을 발휘하도록 하는 것이다. 호흡재활에서 호흡질 Abstract Pulmonary rehabilitation is consisted of breathing retraining, respiratory muscle rest, airway secretion elimination, reconditioning exercise, psychosocial support, nutritional support, adequate ventilator support, and patient education. And there are many techniques and devices to relieve and control the symptoms of respiratory diseases and to prevent from respiratory complications. Among them, the point of pulmonary rehabilitation is the non-invasive respiratory care by using respiratory muscle aids. All patients with impairment of pulmonary function can be differentiated into those who have primarily oxygenation impairment from predominantly intrinsic lung or obstructive diseases, and those with mechanical or restrictive lung disease on the basis of respiratory muscle dysfunction and ventilation impairment. The patients with primarily ventilatory impairment can benefit considerably from the use of both inspiratory and expiratory muscle aids. If we understand the pathophysiology of each pulmonary problem and evaluate the patient carefully and timely, we can minimize the respiratory complications through proper ventilatory and coughing support. Reduced respiratory complications can actually decrease the mortality rate. In conclusion, use of non-invasive respiratory aids, taking into account the characterization of respiratory pathophysiology, have made it possible to enhance quality of life as well as prolong the life span.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116817020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.17
Hyung-Ik Shin
In the coronavirus disease 2019 (COVID-19) era, the roles of rehabilitation to be played in medical system are more emphasized. Rehabilitation is known to help patients recover from the acute period after COVID-19 infection. In addition, studies reported that rehabilitation is required to return patients’ physical function to the state before their infection. Intensive care unit rehabilitation in the acute period and cardiopulmonary rehabilitation in the recovery period have the same principles and techniques as those of applied for frail elderly. Rehabilitation therapy requiring a lot of physical contact and medical equipment is vulnerable to infection. Therefore, it is required to follow thoroughly guidelines about infection, such as wearing a mask, making a two-meter distance between patients, sterilization of medical equipment, and limiting visitors. And after the COVID-19 era, the operation of rehabilitation therapy and its details will be changed; firstly, to reduce complexity of a therapy room, rehabilitation therapy in wards will be enhanced; secondly, more medical equipment for enhancing rehabilitation therapy in wards will be developed and increased; thirdly, in a therapy process, the direct contact will be minimized, and therapy guides using smart equipment will be increased; fourthly, particularly, in the cardiorespiratory rehabilitation area, non-contact tele-rehabilitation techniques, rather than outpatient based rehabilitation therapy, will be developed and applied; fifthly, in order to execute rehabilitation therapies that may cause a high concern over droplet infection, it will be required to consider special therapy facilities like negative pressure isolation room when a rehabilitation hospital or ward will be designed.
{"title":"Rehabilitation Therapy after the COVID-19 Era: Focused on\u0000 Cardiopulmonary Rehabilitation","authors":"Hyung-Ik Shin","doi":"10.53476/acpr.2021.1.1.17","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.17","url":null,"abstract":"In the coronavirus disease 2019 (COVID-19) era, the roles of rehabilitation to be played in medical system are more emphasized. Rehabilitation is known to help patients recover from the acute period after COVID-19 infection. In addition, studies reported that rehabilitation is required to return patients’ physical function to the state before their infection. Intensive care unit rehabilitation in the acute period and cardiopulmonary rehabilitation in the recovery period have the same principles and techniques as those of applied for frail elderly. Rehabilitation therapy requiring a lot of physical contact and medical equipment is vulnerable to infection. Therefore, it is required to follow thoroughly guidelines about infection, such as wearing a mask, making a two-meter distance between patients, sterilization of medical equipment, and limiting visitors. And after the COVID-19 era, the operation of rehabilitation therapy and its details will be changed; firstly, to reduce complexity of a therapy room, rehabilitation therapy in wards will be enhanced; secondly, more medical equipment for enhancing rehabilitation therapy in wards will be developed and increased; thirdly, in a therapy process, the direct contact will be minimized, and therapy guides using smart equipment will be increased; fourthly, particularly, in the cardiorespiratory rehabilitation area, non-contact tele-rehabilitation techniques, rather than outpatient based rehabilitation therapy, will be developed and applied; fifthly, in order to execute rehabilitation therapies that may cause a high concern over droplet infection, it will be required to consider special therapy facilities like negative pressure isolation room when a rehabilitation hospital or ward will be designed.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124691921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.6
Chul Kim
국내 심혈관질환 사망률은 지난 10년간 42.8%가 증가하여 2014년부터 대한민국 질병 사인 2위로 부상하였다[1]. 2019년 통계청 자료에 의하면 인구 10만 명당 62.42명이 심혈관질환으 로 사망하였는데 그중 45%가 허혈성 심장병이었으며 급성 심 Abstract Cardiac rehabilitation (CR) is an integral component of the continuum of care for patients with cardiovascular disease (CVD). Today, the efficacy and safety of CR are well established and it is practiced in 111 countries, but the participation rate of CR is low. The actual rate of CR practice for acute myocardial infarction patients in Korea is very low only 1.5%. CR restores a patient’s exercise capacity and decreases recurrence, re-hospitalization, and re-intervention, as well as mortality. The core components of CR are patient evaluation, dietary treatment, weight management, blood pressure management, blood lipid management, diabetes management, smoking cessation, psycho-social management, physical activity counseling, and exercise training. In order for exercise training to be safely conducted, the risk stratification for exercise-related CV complication needs to be evaluated and high-risk patients should be exercised under the supervision including ECG monitoring. Currently CR programs have been practiced in 47 hospitals (28%) out of 164 CV specialty hospitals which practice percutaneous coronary intervention, but there were not many hospitals with active CR practice. In order for CR to be actively practiced in Korea, CR programs need to be developed in as many CV specialty hospitals as possible, and to increase participation rate, education to clinical staff and patients, more systematic consultation systems, less financial burden to patients, and more flexible CR environment including utilization of home-based CR and non-contact tele-CR technique are needed. These efforts by medical professionals should be accompanied by governmental support in policy making and budget execution.
{"title":"Overview of Cardiac Rehabilitation and Current Situations in\u0000 Korea","authors":"Chul Kim","doi":"10.53476/acpr.2021.1.1.6","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.6","url":null,"abstract":"국내 심혈관질환 사망률은 지난 10년간 42.8%가 증가하여 2014년부터 대한민국 질병 사인 2위로 부상하였다[1]. 2019년 통계청 자료에 의하면 인구 10만 명당 62.42명이 심혈관질환으 로 사망하였는데 그중 45%가 허혈성 심장병이었으며 급성 심 Abstract Cardiac rehabilitation (CR) is an integral component of the continuum of care for patients with cardiovascular disease (CVD). Today, the efficacy and safety of CR are well established and it is practiced in 111 countries, but the participation rate of CR is low. The actual rate of CR practice for acute myocardial infarction patients in Korea is very low only 1.5%. CR restores a patient’s exercise capacity and decreases recurrence, re-hospitalization, and re-intervention, as well as mortality. The core components of CR are patient evaluation, dietary treatment, weight management, blood pressure management, blood lipid management, diabetes management, smoking cessation, psycho-social management, physical activity counseling, and exercise training. In order for exercise training to be safely conducted, the risk stratification for exercise-related CV complication needs to be evaluated and high-risk patients should be exercised under the supervision including ECG monitoring. Currently CR programs have been practiced in 47 hospitals (28%) out of 164 CV specialty hospitals which practice percutaneous coronary intervention, but there were not many hospitals with active CR practice. In order for CR to be actively practiced in Korea, CR programs need to be developed in as many CV specialty hospitals as possible, and to increase participation rate, education to clinical staff and patients, more systematic consultation systems, less financial burden to patients, and more flexible CR environment including utilization of home-based CR and non-contact tele-CR technique are needed. These efforts by medical professionals should be accompanied by governmental support in policy making and budget execution.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"06 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129811909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.50
J. Lee
Patients with peripheral artery disease (PAD) usually have functional impairment, faster functional decline, and poorer quality of life (QoL). It is important to treat PAD properly because it can cause of increasing risk of cardiovascular diseases and related mortality. In addition to anti-platelet agents and statins, cardiac rehabilitation including lifestyle modification and aerobic exercise therapy must be provided to these patients. The mechanism leading to exercise induced improvement may include changes in the way that oxygen is used by exercising the muscle, improved endothelial function, reduced cardiovascular disease risk factors and improved gait as well as increased blood supply. Prior to prescribing exercise, treadmill exercise teat may be given priority to assess functional status. Structured supervised treadmill exercise and home-based exercise each significantly improve functional status and QoL and reduce leg symptoms. In patients with claudication, alternative strategies of exercise, including upper-body ergometry, cycling, and pain-free walking can be beneficial to improve walking ability and functional status. Studies with long-term follow-up have demonstrated a persistent benefit of those exercises in patients with claudication. Furthermore, the risk-benefit ratio is favorable, with an excellent safety profile in patients screened for absolute contraindications to exercise. In order to increase the effectiveness of exercise therapy and prevent problems, it will be most important to fully evaluate the patient’s condition and prescribe appropriate exercise intensity, duration, and modalities.
{"title":"Cardiac Rehabilitation for the Patients with Peripheral Artery\u0000 Disease","authors":"J. Lee","doi":"10.53476/acpr.2021.1.1.50","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.50","url":null,"abstract":"Patients with peripheral artery disease (PAD) usually have functional impairment, faster functional decline, and poorer quality of life (QoL). It is important to treat PAD properly because it can cause of increasing risk of cardiovascular diseases and related mortality. In addition to anti-platelet agents and statins, cardiac rehabilitation including lifestyle modification and aerobic exercise therapy must be provided to these patients. The mechanism leading to exercise induced improvement may include changes in the way that oxygen is used by exercising the muscle, improved endothelial function, reduced cardiovascular disease risk factors and improved gait as well as increased blood supply. Prior to prescribing exercise, treadmill exercise teat may be given priority to assess functional status. Structured supervised treadmill exercise and home-based exercise each significantly improve functional status and QoL and reduce leg symptoms. In patients with claudication, alternative strategies of exercise, including upper-body ergometry, cycling, and pain-free walking can be beneficial to improve walking ability and functional status. Studies with long-term follow-up have demonstrated a persistent benefit of those exercises in patients with claudication. Furthermore, the risk-benefit ratio is favorable, with an excellent safety profile in patients screened for absolute contraindications to exercise. In order to increase the effectiveness of exercise therapy and prevent problems, it will be most important to fully evaluate the patient’s condition and prescribe appropriate exercise intensity, duration, and modalities.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128840864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.42
Yun-Chol Jang, Jae-Young Han
• 42 • Abstract The number of patients with ischemic heart disease is increasing worldwide. And mortality and treatment costs are also increasing. Cardiac rehabilitation is effective in reducing disease recurrence, readmission, and mortality rates. Therefore, it is strongly recommended to introduce cardiac rehabilitation after ischemic heart disease. The cardiac rehabilitation team consists of rehabilitation medicine doctors, rehabilitation nurses, physical therapists, occupational therapists, clinical psychologists, nutritionists, and social workers. Cardiac rehabilitation programs include risk factor management, physical activity, medication management, psychological problem management, vocational rehabilitation training, and vocational counseling. Individual treatment programs should be created for each patient. Prior to the introduction of a rehabilitation program, the patient's risk factors and functional status should be evaluated. And patients receive education on blood pressure, blood sugar, lipids, weight, smoking cessation, and nutritional status management. An aerobic exercise is the most important cardiac rehabilitation program, and resistance exercise and flexibility exercise may also be included. Even after the cardiac rehabilitation program is finished, the changes in exercise and lifestyle should be continued through connection with the local community. Currently, there are differences in cardiac rehabilitation programs around the world. In the future, multinational, multi-center and large-scale research should be conducted. Through those studies, the effects of cardiac rehabilitation are confirmed, and important parts of each guideline are identified.
{"title":"Cardiac Rehabilitation in Patients with Ischemic Heart\u0000 Disease","authors":"Yun-Chol Jang, Jae-Young Han","doi":"10.53476/acpr.2021.1.1.42","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.42","url":null,"abstract":"• 42 • Abstract The number of patients with ischemic heart disease is increasing worldwide. And mortality and treatment costs are also increasing. Cardiac rehabilitation is effective in reducing disease recurrence, readmission, and mortality rates. Therefore, it is strongly recommended to introduce cardiac rehabilitation after ischemic heart disease. The cardiac rehabilitation team consists of rehabilitation medicine doctors, rehabilitation nurses, physical therapists, occupational therapists, clinical psychologists, nutritionists, and social workers. Cardiac rehabilitation programs include risk factor management, physical activity, medication management, psychological problem management, vocational rehabilitation training, and vocational counseling. Individual treatment programs should be created for each patient. Prior to the introduction of a rehabilitation program, the patient's risk factors and functional status should be evaluated. And patients receive education on blood pressure, blood sugar, lipids, weight, smoking cessation, and nutritional status management. An aerobic exercise is the most important cardiac rehabilitation program, and resistance exercise and flexibility exercise may also be included. Even after the cardiac rehabilitation program is finished, the changes in exercise and lifestyle should be continued through connection with the local community. Currently, there are differences in cardiac rehabilitation programs around the world. In the future, multinational, multi-center and large-scale research should be conducted. Through those studies, the effects of cardiac rehabilitation are confirmed, and important parts of each guideline are identified.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123915042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.53476/acpr.2021.1.1.57
W. Kim
Heart failure is one of the common causes of morbidity, mortality, and socioeconomic burdens. Heart failure is treated by medications or assistive devices according to the current evidence-based guideline, thus the mortality due to heart failure is decreasing but the long-term mortality is still high and patients with heart failure show poor quality of life. Exercise-based cardiac rehabilitation (CR) along with optimal medical therapy can decrease hospital readmissions, long-term mortality and promote health-related quality of life. Therefore, exercise-based CR in heart failure is strongly recommended by international guidelines for heart failure. In Korea, the national medical insurance coverage for CR was started in 2017 but CR for heart failure is definitely underutilized. To promote CR in heart failure, health care professionals in CR providers should fully understand the benefits and clinical application of CR and can convince other medical staff or patients with heart failure based on their solid knowledge. In this narrative brief review for CR in heart failure, I will cover the following topics: 1) mechanisms of exercise-based CR on beneficial effects in heart failure, 2) clinical evidence of CR in heart failure, 3) exercise prescription in heart failure, 4) CR barriers and strategies to promote CR.
{"title":"Exercise-based Cardiac Rehabilitation in Heart\u0000 Failure","authors":"W. Kim","doi":"10.53476/acpr.2021.1.1.57","DOIUrl":"https://doi.org/10.53476/acpr.2021.1.1.57","url":null,"abstract":"Heart failure is one of the common causes of morbidity, mortality, and socioeconomic burdens. Heart failure is treated by medications or assistive devices according to the current evidence-based guideline, thus the mortality due to heart failure is decreasing but the long-term mortality is still high and patients with heart failure show poor quality of life. Exercise-based cardiac rehabilitation (CR) along with optimal medical therapy can decrease hospital readmissions, long-term mortality and promote health-related quality of life. Therefore, exercise-based CR in heart failure is strongly recommended by international guidelines for heart failure. In Korea, the national medical insurance coverage for CR was started in 2017 but CR for heart failure is definitely underutilized. To promote CR in heart failure, health care professionals in CR providers should fully understand the benefits and clinical application of CR and can convince other medical staff or patients with heart failure based on their solid knowledge. In this narrative brief review for CR in heart failure, I will cover the following topics: 1) mechanisms of exercise-based CR on beneficial effects in heart failure, 2) clinical evidence of CR in heart failure, 3) exercise prescription in heart failure, 4) CR barriers and strategies to promote CR.","PeriodicalId":128538,"journal":{"name":"Annals of CardioPulmonary Rehabilitation","volume":"415 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133557666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：