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Rehabilitation practice patterns for patients with heart failure: the South American perspective

Audrey Borghi-Silva1, Renata Trimer1, Renata G Mendes1

  • 1Cardiopulmonary Physiotherapy Laboratory, Federal University of Sao Carlos, Rod Washington Luis Km 235 - SP - 310, Sao Carlos, Sao Paulo 13565-90, Brazil.

Heart Failure Clinics
|November 30, 2014
PubMed

Insights

Heart failure (HF) impacts South America significantly. This review explores cardiac rehabilitation (CR) for HF patients, focusing on Chagas heart disease, home-based CR, and adherence strategies.

Area of Science:

  • Cardiology
  • Public Health
  • Infectious Diseases

Background:

  • Heart failure (HF) presents a major public health challenge in South America, with considerable economic consequences.
  • Chagas heart disease, caused by Trypanosoma cruzi, is a significant etiological factor for HF in the region.
  • Cardiac rehabilitation (CR) is a crucial part of HF management, but its specific benefits and delivery methods require further assessment.

Purpose of the Study:

  • To assess the benefits, effectiveness, and safety of cardiac rehabilitation (CR) for heart failure (HF) patients.
  • To explore innovative CR delivery models, including home-based interventions.
  • To identify strategies for enhancing patient adherence to CR programs.

Main Methods:

  • Review of past and current trends in cardiac rehabilitation for heart failure patients.
  • Discussion of Chagas heart disease as a specific HF etiology.
  • Exploration of home-based CR and adherence strategies.

Main Results:

  • Cardiac rehabilitation (CR) offers significant benefits for heart failure (HF) patients.
  • Home-based CR interventions show promise for improving access and adherence.
  • Adherence remains a critical factor for maximizing CR effectiveness.

Conclusions:

  • Cardiac rehabilitation (CR) is an essential intervention for managing heart failure (HF) in South America.
  • Further research into optimizing CR delivery, particularly home-based models and adherence strategies, is warranted.
  • Addressing Chagas heart disease within CR programs is vital for regional HF care.

Keywords:
Cardiovascular diseaseChagas cardiomyopathyChronic heart failureReferralRehabilitation

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