Recommendations on how to provide cardiac rehabilitation services during the COVID-19 pandemic

H M C Kemps1,2, R W M Brouwers3, M J Cramer4

  • 1Department of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands. h.kemps@mmc.nl.

Insights

The COVID-19 pandemic disrupts traditional cardiac rehabilitation. New recommendations focus on telerehabilitation to ensure continued patient care and support lifestyle changes during this crisis.

Area of Science:

  • Cardiology
  • Public Health
  • Rehabilitation Medicine

Background:

  • The COVID-19 pandemic significantly impacts acute and chronic cardiac care delivery.
  • Public health measures and healthcare reorganizations have made traditional, center-based cardiac rehabilitation challenging.
  • Lifestyle behaviors and general well-being may be negatively affected by pandemic-related restrictions.

Purpose of the Study:

  • To provide practical recommendations for delivering cardiac rehabilitation during the COVID-19 pandemic.
  • To adapt existing cardiac rehabilitation guidelines for remote delivery.
  • To incorporate new insights and experiences into cardiac rehabilitation strategies.

Main Methods:

  • Formulation of practical recommendations by the Working Group of Cardiovascular Prevention and Rehabilitation of the Dutch Society of Cardiology.
  • Focus on telerehabilitation programs to enable remote patient care.
  • Supplementing current guidelines with novel insights and practical experiences gained during the pandemic.

Main Results:

  • Development of a framework for providing cardiac rehabilitation without face-to-face contact.
  • Emphasis on utilizing telerehabilitation to overcome pandemic-related barriers.
  • Guidance for maintaining essential cardiac care and supporting patient well-being.

Conclusions:

  • Telerehabilitation offers a viable solution for continuing cardiac rehabilitation during the COVID-19 pandemic.
  • Adaptable guidelines are crucial for ensuring the continuity of cardiovascular care.
  • Proactive recommendations are necessary to address the challenges posed by public health crises on patient care.

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