Cardiac Rehabilitation During Quarantine in COVID-19 Pandemic: Challenges for Center-Based Programs

Besnier, Florent; Gayda, Mathieu; Nigam, Anil; Juneau, Martin; Bherer, Louis

doi:10.1016/j.apmr.2020.06.004

Cited by 77 publications

(78 citation statements)

References 38 publications

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“…Although telemedicine is mostly unused in the management of cardiovascular diseases, the COVID-19 pandemic has reinstated interest in the use of innovative strategies in the provision of healthcare [ 26 , 27 ]. This means that HBCT can bridge the gap and be an effective alternative approach [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Baťalík

Konečný²,

Dosbaba

et al. 2021

IJERPH

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This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our study, the participants were supervised using telerehabilitation. A total of 84% of participants completed the 8-week intervention. No adverse events were reported during telerehabilitation. The study participants noted a significant improvement (p < 0.001) in cardiorespiratory fitness expressed by an 8% reduction in the walking test time (Δ 8.8 ± 5.9 s). Home-based telerehabilitation based on 200 mFWT effectively increased the cardiorespiratory fitness in people with CHD with a low to moderate cardiovascular risk. This was a novel approach in CR during the COVID-19 pandemic. As research in this area is justified, this paper may serve as an alternative method of providing healthcare during the COVID-19 pandemic and as a basis for further upcoming randomized controlled trials.

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Section: Discussionmentioning

confidence: 99%

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Baťalík

Konečný²,

Dosbaba

et al. 2021

IJERPH

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“…Currently, a system to provide phase 2 CR during the COVID-19 pandemic is under consideration [ 2 , 3 ]. The present study suggested that more careful intervention is needed with a focus on the decline of physical function, especially in patients aged 75 years and older.…”

Section: Discussionmentioning

confidence: 99%

“…Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may increase mortality in affected patients with cardiovascular disease (CVD) [ 1 ]. In addition, because it spreads from person to person via close contact, the delivery of cardiac rehabilitation (CR) is currently being hampered in many countries due to the COVID-19 pandemic [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on phase 2 cardiac rehabilitation patients in Japan

et al. 2021

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This study aimed to clarify the effects of the interruption of cardiac rehabilitation (CR) and refraining from going outside due to the COVID-19 pandemic on hemodynamic response and rating of perceived exertion (RPE) during exercise including differences by age in phase 2 CR outpatients. Among 76 outpatients participating in consecutive phase 2 CR in both periods from March to April and June to July 2020, which were before and after CR interruption, respectively, at Sanda City Hospital were enrolled. The inclusion criterion was outpatients whose CR was interrupted due to COVID-19. We compared the data of hemodynamic response and RPE during exercise on the last day before interruption and the first day after interruption when aerobic exercise was performed at the same exercise intensity in the < 75 years group and ≥ 75 years group. Fiftythree patients were enrolled in the final analysis. Post-CR interruption, peak heart rate increased significantly (p = 0.009) in the < 75 years group, whereas in the ≥ 75 years group, weight and body mass index decreased significantly (p = 0.009, 0.011, respectively) and Borg scale scores for both dyspnea and lower extremities fatigue worsened significantly (both, p < 0.001). CR interruption and refraining from going outside due to the COVID-19 pandemic affected the hemodynamic response, RPE during exercise and body weight in phase 2 CR outpatients. In particular, patients aged ≥ 75 years appeared to be placed at an increased risk of frailty.

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“…These exercises can be easily described and explained to the patient by using videos. Moreover, it can be illustrated in a physical activity notebook [ 32 ].…”

Section: Cardiac Rehabilitation In Pandemic Situationmentioning

confidence: 99%

Cardiac rehabilitation via telerehabilitation in COVID-19 pandemic situation

Sari

Wijaya

2021

Egypt Heart J

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Background Adherence to medication and lifestyle changes are very important in the secondary prevention of cardiovascular disease. One of the ways is by doing a cardiac rehabilitation program. Main body of the abstract Cardiac rehabilitation program is divided into three phases. The cardiac rehabilitation program’s implementation, especially the second phase, center-based cardiac rehabilitation (CBCR), has many barriers not to participate optimally. Therefore, the third phase, known as home-based cardiac rehabilitation (HBCR), can become a substitute or addition to CBCR. On the other hand, this phase is also an essential part of the patients’ functional capacity. During the coronavirus disease-2019 pandemic, HBCR has become the leading solution in the cardiac rehabilitation program’s sustainability. Innovation is needed in its implementation, such as telerehabilitation. So, the cardiac rehabilitation program can be implemented by patients and monitored by health care providers continuously. Short conclusion Physicians play an essential role in motivating patients and encouraging their family members to commit to a sustainable CR program with telerehabilitation to facilitate its implementation.

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Cardiac Rehabilitation During Quarantine in COVID-19 Pandemic: Challenges for Center-Based Programs

Cited by 77 publications

References 38 publications

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic

Impact of the COVID-19 pandemic on phase 2 cardiac rehabilitation patients in Japan

Cardiac rehabilitation via telerehabilitation in COVID-19 pandemic situation

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