Exercise-based cardiac rehabilitation for the 21st century

Worringham, Charles J. & Stewart, Ian B. (2013) Exercise-based cardiac rehabilitation for the 21st century. Current Cardiovascular Risk Reports, 7(4), pp. 288-292.

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Abstract

Exercise-based cardiac rehabilitation (CR) is efficacious in reducing mortality and hospital admissions; however it remains inaccessible to large proportions of the patient population. Removal of attendance barriers for hospital or centre-based CR has seen the promotion of home-based CR. Delivery of safe and appropriately prescribed exercise in the home was first documented 25 years ago, with the utilisation of fixed land-line telecommunications to monitor ECG. The advent of miniature ECG sensors, in conjunction with smartphones, now enables CR to be delivered with greater flexibility with regard to location, time and format, while retaining the capacity for real-time patient monitoring. A range of new systems allow other signals including speed, location, pulse oximetry, and respiration to be monitored and these may have application in CR. There is compelling evidence that telemonitored-based CR is an effective alternative to traditional CR practice. The long-standing barrier of access to centre-based CR, combined with new delivery platforms, raises the question of when telemonitored-based CR could replace conventional approaches as the standard practice.

Impact and interest:

1 citations in Scopus
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ID Code: 61927
Item Type: Journal Article
Refereed: Yes
Keywords: real-time monitoring, ECG, GPS, technology, cardiac rehabilitation
DOI: 10.1007/s12170-013-0318-9
ISSN: 1932-9563
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200) > Cardiology (incl. Cardiovascular Diseases) (110201)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > HUMAN MOVEMENT AND SPORTS SCIENCE (110600) > Exercise Physiology (110602)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2013 Springer
Copyright Statement: "The final publication is available at link.springer.com”.
Deposited On: 19 Aug 2013 23:06
Last Modified: 06 Sep 2014 02:03

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