Remote Cardiovascular Rehabilitation at COVID-19 Times: Experience in a University Hospital

Abstract

Multiple studies have shown that cardiovascular rehabilitation (CVR) programs are safe and effective in improving functional capacity and quality of life, as well as reducing readmission and all-cause mortality. Unfortunately, CVR programs are significantly underutilized, with 20-30% of eligible patients participating, with even fewer women, older adults, and individuals from underserved populations. Our study was designed to determine the feasibility of remote CVR in our patient population and to point to improvements in functional and quality-of-life endpoints after a 12-week hybrid period of multicomponent team intervention. COVID-19 is added to the already known barriers of CVR. As seen in our recent experience, remote rehabilitation is undoubtedly an alternative that we should explore. We consider highly relevant the configuration of a multi-component team, and the incorporation of psychosocial support (mental health) into the rehabilitation team to optimize the social role of the participants. Remote CVR is a viable alternative, as it has not only improved the quality of life for patients during the pandemic but also overcomes barriers such as travel and social problems, which often impede patient care. Without a doubt, there is no better time than now to explore and implement methodologies that improve or complement existing CVR programs.