How to provide telerehabilitation in cardiac patients

28 October 2018
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It is well known that the cardiovascular disease (CVD) epidemic is one of the leading killers with an enormous economic burden all over the world. Data of all the European Society of Cardiology (ESC) member countries of 2015 demonstrated that there were 83.5 million patients with CVD in Europe. (1) This amount of patients demonstrates the utmost importance of an organized secondary prevention program.

References

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2. Kotseva, K., Wood, D., & De Bacquer, D. Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey. European Journal of Preventive Cardiology 2018, 25(12), 1242-1251.

3. Peretti A, Amenta F, Tayebati SK, et al. Telerehabilitation: Review of the State-of-the-Art and Areas of Application JMIR Rehabil Assist Technol 2017;4(2):e7

4. Piotrowicz, E, & Piotrowicz, R. Cardiac telerehabilitation: Current situation and future challenges. European Journal of Preventive Cardiology 2013;20(2_suppl);12-16.

5. Frederix, I., Solmi, F., Piepoli, M, et al. Cardiac telerehabilitation: A novel cost-efficient care delivery strategy that can induce long-term health benefits. European Journal of Preventive Cardiology 2017; 24(16);1708-1717.

6. Frederix, I., Hansen, D., Coninx, K., et al. Telerehab III: A multi-center randomized, controlled trial investigating the long-term effectiveness of a comprehensive cardiac telerehabilitation program - Rationale and study design. BMC Cardiovascular Disorders 2015; 15(1);29.

7. Mampuya WM. Cardiac rehabilitation past, present and future: An overview. Cardiovasc Diagn Ther 2012; 2: 38–49.

8. Rawstorn JC, Gant N, Direito A, et al. Telehealth exercise-based cardiac rehabilitation: a systematic review and meta-analysis. Heart 2016;102: 1183–1192.

9. Frederix, I, Vanhees, L, Dendale, P, et al. A review of telerehabilitation for cardiac patients. Journal of Telemedicine and Telecare 2015; 21(1);45-53.

10. Saner, H., Van Der Velde, E. EHealth in cardiovascular medicine: A clinical update. European Journal of Preventive Cardiology 2016; 23(2_suppl);5-12.

11. Roffi M, Patrono C, Collet JP, et al. 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J 2016; 37: 267– 315.

12.Borja Ibanez, Stefan James, Stefan Agewall, et al, ESC Scientific Document Group; 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC), European Heart Journal, Volume 39, Issue 2, 7 January 2018, Page 11177, https://doi.org/10.1093/eurheartj/ehx393

13. Montalescot G, Sechtem U, Achenbach S, et al. 2013 ESC guidelines on the management of stable coronary artery disease. Eur Heart J 2013; 34: 2949–3003.

14. Huang, K, Liu, W, He, D, et al. Telehealth interventions versus center-based cardiac rehabilitation of coronary artery disease: A systematic review and meta-analysis. European Journal of Preventive Cardiology 2015; 22(8);959-971.

15. Frederix, I., Hansen, Coninx, et al. Effect of comprehensive cardiac telerehabilitation on one-year cardiovascular rehospitalization rate, medical costs and quality of life: A cost-effectiveness analysis. European Journal of Preventive Cardiology 2016; 23(7); 674-682.

16. Frederix. I, Vandijck. D, Hens. N, et al. Economic and social impact of increased cardiac rehabilitation uptake and cardiac telerehabilitation in Belgium – a cost–benefit analysis, Acta Cardiologica 2018; 73:3;222-229,

17. Gostin, L., Halabi, S., & Wilson, K. Health Data and Privacy in the Digital Era. JAMA, The Journal of the American Medical Association 2018; 320(3);233.

Notes to editor

Scherrenberg M1,3 ,Dendale P1,3,Frederix I1,2,3,4

1 Hasselt University, Faculty of Medicine & Life Sciences, Hasselt, Belgium;

2 Antwerp University, Faculty of Medicine & Health Sciences, Antwerp, Belgium;

3 Department of Cardiology, Jessa Hospital, Hasselt, Belgium;

4 Antwerp University Hospital (UZA), Antwerp, Belgium;

Contributors