Cardiac rehabilitation for older adults: current evidence and future potential.
Cardiac rehabilitation for older adults: current evidence and future potential.
复制标题
DOI：
10.1080/14779072.2022.2035722
复制
发表时间：
2022-01
影响因子：
2
通讯作者：
Forman DE
中科院分区：
文献类型：
--
作者：
Alfaraidhy MA;Regan C;Forman DE
老年人口的增长导致患有心血管疾病（CVD）以及合并症和老年综合征的老年患者数量增加。心脏康复 (CR) 用于促进康复和改善预后，但仍未得到充分利用，尤其是老年人。 CR 提供了一个满足老年人独特需求的机会，重点关注心血管疾病以及通常主导管理和结果的老年领域。 CR 在老年人 CVD 以及影响 CVD 管理的相关老年综合征（例如，多发病、虚弱、多药治疗、认知能力下降、心理社会压力和功能减退）中的效用。越来越多的数据证实了 CR 作为老年 CVD 患者康复的一部分的重要性。 CR 作为标准治疗的应用尤其重要，因为 CVD 和老年综合征的结合会促进功能衰退，并可能引发进行性临床恶化和依赖性。虽然 CR 对患有 CVD 的老年人的好处已经很明显，但有必要进一步重新设计 CR，以更好地满足可能体弱的老年候选人的需求，特别是在远程和混合形式的 CR 变得越来越普遍的情况下。
Growth of the older adult demographic has resulted in an increased number of older patients with cardiovascular disease (CVD) in combination with comorbid diseases and geriatric syndromes. Cardiac rehabilitation (CR) is utilized to promote recovery and improve outcomes, but remains underutilized, particularly by older adults. CR provides an opportunity to address the distinctive needs of older adults, with focus on CVD as well as geriatric domains that often dominate management and outcomes. Utility of CR for CVD in older adults as well as pertinent geriatric syndromes (e.g., multimorbidity, frailty, polypharmacy, cognitive decline, psychosocial stress, and diminished function) that affect CVD management. Mounting data substantiate the importance of CR as part of recovery for older adults with CVD. The application of CR as a standard therapy is especially important as the combination of CVD and geriatric syndromes catalyzes functional decline and can trigger progressive clinical deterioration and dependency. While benefits of CR for older adults with CVD are already evident, further reengineering of CR is necessary to better address the needs of older candidates who may be frail, especially as remote and hybrid formats of CR are becoming more widespread.
登录
查看更多内容
影响因子：
2.8
作者：
Afilalo, Jonathan;Karunananthan, Sathya;Bergman, Howard
通讯作者：
Bergman, Howard
影响因子：
3.9
作者：
Abdulaziz, Kasim;Perry, Jeffrey J.;Brehaut, Jamie
通讯作者：
Brehaut, Jamie
影响因子：
2.8
作者：
Alosco, Michael L.;Spitznagel, Mary Beth;Gunstad, John
通讯作者：
Gunstad, John
影响因子：
2
作者：
Back, Maria;Cider, Asa;Jansson, Bengt
通讯作者：
Jansson, Bengt
影响因子：
8.9
作者：
Ades PA;Keteyian SJ;Wright JS;Hamm LF;Lui K;Newlin K;Shepard DS;Thomas RJ
通讯作者：
Thomas RJ