Why do so few people with heart failure receive cardiac rehabilitation?

Thompson, D. R., Ski, C. F., Clark, A. M., Dalal, H. M. and Taylor, R. S. (2022) Why do so few people with heart failure receive cardiac rehabilitation? Cardiac Failure Review, 8, e28. (doi: 10.15420/cfr.2022.16) (PMID:36303590) (PMCID:PMC9585646)

Abstract

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.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Taylor, Professor Rod
• Authors: Thompson, D. R., Ski, C. F., Clark, A. M., Dalal, H. M., and Taylor, R. S.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: Cardiac Failure Review
• Publisher: Radcliffe Cardiology
• ISSN: 2057-7540
• ISSN (Online): 2057-7559
• Published Online: 23 September 2022
• Copyright Holders: Copyright © The Author(s) 2022
• First Published: First published in Cardiac Failure Review 8: e28
• Publisher Policy: Reproduced under a Creative Commons License