Cardiac Rehab in the COVID Era and Beyond: mHealth and Other Novel Opportunities.
Cardiac Rehab in the COVID Era and Beyond: mHealth and Other Novel Opportunities.
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DOI：
10.1007/s11886-021-01482-7
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发表时间：
2021-03-11
影响因子：
3.7
通讯作者：
Taub PR
中科院分区：
文献类型：
--
作者：
Epstein E;Patel N;Maysent K;Taub PR
COVID-19大流行迫使许多基于中心的心脏康复（CBCR）计划关闭或限制其常规服务。为了让患者继续受益于CR，项目需要快速适应当前环境。这篇综述强调了CR的发展方式，并回顾了CR的历史和远程医疗的最新进展，包括远程患者监护和可应用于CR的移动的健康。尽管最初的研究表明，基于家庭的CR（HBCR）是安全和有效的，但HBCR面临着一些挑战，这些挑战阻碍了它的广泛实施。许多以前的问题，现在可以通过使用新的创新，以家庭为基础的医疗保健提供解决。自成立以来，CR已越来越被认为是改善广泛心脏疾病患者死亡率和生活质量的重要工具。虽然自20世纪50年代以来几乎没有必要修改CR的交付，但COVID-19现在是使HBCR成为CBCR的平等替代品的必要推动力。
The COVID-19 pandemic has forced many center-based cardiac rehabilitation (CBCR) programs to close or limit their usual offerings. In order for patients to continue to benefit from CR, programs need to rapidly adapt to the current environment. This review highlights ways CR has evolved, and reviews the history of CR and recent advancements in telemedicine including remote patient monitoring, and mobile health that can be applied to CR. Despite that initial studies indicate that home-based CR (HBCR) is safe and effective, HBCR has faced several challenges that have prevented it from becoming more widely implemented. Many previous concerns can now be addressed through the use of new innovations in home-based healthcare delivery. Since its inception, CR has become increasingly recognized as an important tool to improve patient mortality and quality of life in a broad range of cardiac diseases. While there has been little need to modify the delivery of CR since the 1950s, COVID-19 now serves as the necessary impetus to make HBCR an equal alternative to CBCR.
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