Schwaab, Bernhard ORCID: 0000-0003-4801-1107, Bjarnason-Wehrens, Birna, Meng, Karin, Albus, Christian, Salzwedel, Annett ORCID: 0000-0003-2530-2673, Schmid, Jean-Paul ORCID: 0000-0002-9008-8274, Benzer, Werner, Metz, Matthes, Jensen, Katrin, Rauch, Bernhard, Boenner, Gerd, Brzoska, Patrick, Buhr-Schinner, Heike, Charrier, Albrecht, Cordes, Carsten, Doerr, Gesine, Eichler, Sarah, Exner, Anne-Kathrin, Fromm, Bernd, Gielen, Stephan, Glatz, Johannes, Gohlke, Helmut, Grilli, Maurizio ORCID: 0000-0001-7649-7242, Gysan, Detlef, Haertel, Ursula, Hahmann, Harry, Herrmann-Lingen, Christoph, Karger, Gabriele, Karoff, Marthin, Kiwus, Ulrich, Knoglinger, Ernst, Krusch, Christian-Wolfgang, Langheim, Eike, Mann, Johannes, Max, Regina, Metzendorf, Maria-Inti ORCID: 0000-0002-4154-5782, Nebel, Roland, Niebauer, Josef, Predel, Hans-Georg, Pressler, Axel, Razum, Oliver ORCID: 0000-0002-1244-7649, Reiss, Nils, Saure, Daniel, von Schacky, Clemens, Schuett, Morten, Schultz, Konrad ORCID: 0000-0003-0067-389X, Skoda, Eva-Maria, Steube, Diethard, Streibelt, Marco, Stuettgen, Martin, Stuettgen, Michaela, Teufel, Martin, Tschanz, Hansueli, Voeller, Heinz, Vogel, Heiner and Westphal, Ronja (2021). Cardiac Rehabilitation in German Speaking Countries of Europe-Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 2. J. Clin. Med., 10 (14). BASEL: MDPI. ISSN 2077-0383

Full text not available from this repository.

Abstract

Background: Scientific guidelines have been developed to update and harmonize exercise based cardiac rehabilitation (ebCR) in German speaking countries. Key recommendations for ebCR indications have recently been published in part 1 of this journal. The present part 2 updates the evidence with respect to contents and delivery of ebCR in clinical practice, focusing on exercise training (ET), psychological interventions (PI), patient education (PE). In addition, special patients' groups and new developments, such as telemedical (Tele) or home-based ebCR, are discussed as well. Methods: Generation of evidence and search of literature have been described in part 1. Results: Well documented evidence confirms the prognostic significance of ET in patients with coronary artery disease. Positive clinical effects of ET are described in patients with congestive heart failure, heart valve surgery or intervention, adults with congenital heart disease, and peripheral arterial disease. Specific recommendations for risk stratification and adequate exercise prescription for continuous-, interval-, and strength training are given in detail. PI when added to ebCR did not show significant positive effects in general. There was a positive trend towards reduction in depressive symptoms for distress management and lifestyle changes. PE is able to increase patients' knowledge and motivation, as well as behavior changes, regarding physical activity, dietary habits, and smoking cessation. The evidence for distinct ebCR programs in special patients' groups is less clear. Studies on Tele-CR predominantly included low-risk patients. Hence, it is questionable, whether clinical results derived from studies in conventional ebCR may be transferred to Tele-CR. Conclusions: ET is the cornerstone of ebCR. Additional PI should be included, adjusted to the needs of the individual patient. PE is able to promote patients self-management, empowerment, and motivation. Diversity-sensitive structures should be established to interact with the needs of special patient groups and gender issues. Tele-CR should be further investigated as a valuable tool to implement ebCR more widely and effectively.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schwaab, BernhardUNSPECIFIEDorcid.org/0000-0003-4801-1107UNSPECIFIED
Bjarnason-Wehrens, BirnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meng, KarinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Albus, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Salzwedel, AnnettUNSPECIFIEDorcid.org/0000-0003-2530-2673UNSPECIFIED
Schmid, Jean-PaulUNSPECIFIEDorcid.org/0000-0002-9008-8274UNSPECIFIED
Benzer, WernerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Metz, MatthesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jensen, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rauch, BernhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boenner, GerdUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brzoska, PatrickUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buhr-Schinner, HeikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Charrier, AlbrechtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cordes, CarstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Doerr, GesineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichler, SarahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Exner, Anne-KathrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fromm, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gielen, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Glatz, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gohlke, HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grilli, MaurizioUNSPECIFIEDorcid.org/0000-0001-7649-7242UNSPECIFIED
Gysan, DetlefUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haertel, UrsulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hahmann, HarryUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herrmann-Lingen, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karger, GabrieleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karoff, MarthinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kiwus, UlrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Knoglinger, ErnstUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krusch, Christian-WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Langheim, EikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mann, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Max, ReginaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Metzendorf, Maria-IntiUNSPECIFIEDorcid.org/0000-0002-4154-5782UNSPECIFIED
Nebel, RolandUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niebauer, JosefUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Predel, Hans-GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pressler, AxelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Razum, OliverUNSPECIFIEDorcid.org/0000-0002-1244-7649UNSPECIFIED
Reiss, NilsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saure, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Schacky, ClemensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuett, MortenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schultz, KonradUNSPECIFIEDorcid.org/0000-0003-0067-389XUNSPECIFIED
Skoda, Eva-MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steube, DiethardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Streibelt, MarcoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stuettgen, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stuettgen, MichaelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teufel, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tschanz, HansueliUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Voeller, HeinzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vogel, HeinerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Westphal, RonjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-607085
DOI: 10.3390/jcm10143071
Journal or Publication Title: J. Clin. Med.
Volume: 10
Number: 14
Date: 2021
Publisher: MDPI
Place of Publication: BASEL
ISSN: 2077-0383
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; CORONARY-ARTERY-DISEASE; HEART-FAILURE PATIENTS; IMPROVES EXERCISE CAPACITY; VENTRICULAR ASSIST DEVICE; AORTIC-VALVE IMPLANTATION; PRESERVED EJECTION FRACTION; SELF-MANAGEMENT EDUCATION; HIGH-INTENSITY EXERCISE; PEAK OXYGEN-UPTAKEMultiple languages
Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60708

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item