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Updated: Feb 18, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
[Cardiac rehabilitation, state of the art 2017]
P Lancellotti1, A Ancion1, L Piérard1
1Service de Cardiologie, CHU Sart Tilman Liège, Belgique.
Insights
Cardiac rehabilitation is crucial for secondary prevention of cardiovascular disease, especially with emerging technologies like home-based programs. Further standardization and evaluation are needed to improve patient access and program effectiveness.
Area of Science:
- Cardiology
- Preventive Medicine
- Rehabilitation Medicine
Background:
- Cardiovascular disease is a leading cause of mortality in Western nations.
- Secondary prevention, including cardiac rehabilitation, is essential for patient outcomes.
- Established indications include coronary artery disease, valvular heart disease, heart failure, and heart transplantation.
Purpose of the Study:
- To review the current role and emerging indications for cardiac rehabilitation.
- To identify limitations in current cardiac rehabilitation programs, such as variability and low participation rates.
- To explore the potential of home-based cardiac rehabilitation technologies.
Main Methods:
- Literature review of recent data on cardiac rehabilitation.
- Analysis of conventional and novel indications for cardiac rehabilitation.
- Evaluation of home-based cardiac rehabilitation technologies.
Main Results:
- Cardiac rehabilitation is beneficial for established indications like coronary artery disease and heart failure.
- Emerging indications such as ventricular assistance and pulmonary hypertension show potential.
- Current programs suffer from uneven content, duration, and low patient enrollment.
- Home-based technologies show promise but require protocol standardization.
Conclusions:
- Cardiac rehabilitation is vital for secondary prevention across various cardiovascular conditions.
- Home-based cardiac rehabilitation offers a potential solution to current program weaknesses.
- Standardization of protocols, tools, and further study of budgetary impact are necessary for widespread adoption.
Abstract:
Cardiovascular disease remains the leading cause of death in western countries. Despite advances in acute management of patients, secondary prevention remains essential and should include cardiac rehabilitation. Recent data have confirmed the interest of this management in the various conventional indications : coronary disease, valvular heart disease, heart failure and heart transplantation. New indications emerge with some benefit that should be evaluated : ventricular assistance, pulmonary hypertension, trans-catheter aortic valve implantation. However, the different rehabilitation programs proposed are still too uneven in content and duration and the number of patients participating in these programs remains low. Home based cardiac rehabilitation technologies have already shown some effectiveness and could improve some of the weaknesses of rehabilitation programs. Again protocols and tools need to be improved and standardized. The budgetary impact will also have to be studied further.
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