Exercise-based cardiac rehabilitation in patients with coronary heart disease: a practice guideline

被引：130

作者：

Achttien, R. J. ^{[1
,2
]}

Staal, J. B. ^{[3
]}

van der Voort, S. ^{[4
]}

Kemps, H. M. C. ^{[5
,6
]}

Koers, H. ^{[7
]}

Jongert, M. W. A. ^{[8
]}

Hendriks, E. J. M. ^{[1
,2
]}

机构：

[1] Maastricht Univ, Ctr Evidence Based Physiotherapy, Maastricht, Netherlands

[2] Maastricht Univ, Dept Epidemiol, Maastricht, Netherlands

[3] Radboud Univ Nijmegen, Sci Inst Qual Healthcare, Med Ctr, NL-6525 ED Nijmegen, Netherlands

[4] Tergooiziekenhuizen, Rehabil Dept, Zonnestraal, Hilversum, Netherlands

[5] Maxima Med Ctr, Dept Cardiol, Veldhoven, Netherlands

[6] Univ Amsterdam, Dept Med Informat, Amsterdam Acad Med Ctr, Amsterdam, Netherlands

[7] Hart Koers, Gouda, Netherlands

[8] The Hague Univ Appl Sci, Dutch Inst Allied Hlth Care, The Hague, Netherlands

来源：

NETHERLANDS HEART JOURNAL | 2013年 / 21卷 / 10期

关键词：

Coronary heart disease; Exercise-based cardiac rehabilitation; Clinical practice; 6-MINUTE WALK TEST; SECONDARY PREVENTION; POSITION PAPER; RELAXATION THERAPY; WORKING-GROUP; METAANALYSIS; ASSOCIATION; PREDICTION; CARDIOLOGY; PHYSIOLOGY;

D O I：

10.1007/s12471-013-0467-y

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

To improve the quality of exercise-based cardiac rehabilitation (CR) in patients with coronary heart disease (CHD) the CR guideline from the Dutch Royal Society for Physiotherapists (KNGF) has been updated. This guideline can be considered an addition to the 2011 Dutch Multidisciplinary CR guideline, as it includes several novel topics. A systematic literature search was performed to formulate conclusions on the efficacy of exercise-based interventions during all CR phases in patients with CHD. Evidence was graded (1-4) according the Dutch evidence-based guideline development (EBRO) criteria. In case of insufficient scientific evidence, recommendations were based on expert opinion. This guideline comprised a structured approach including assessment, treatment and evaluation. Recommendations for exercise-based CR were formulated covering the following topics: preoperative physiotherapy, mobilisation during the clinical phase, aerobic exercise, strength training, and relaxation therapy during the outpatient rehabilitation phase, and adoption and monitoring of a physically active lifestyle after outpatient rehabilitation. There is strong evidence for the effectiveness of exercise-based CR during all phases of CR. The implementation of this guideline in clinical practice needs further evaluation as well as the maintenance of an active lifestyle after supervised rehabilitation.

引用

页码：429 / 438

页数：10

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