Skip to main content

Kardiovaskuläre Rehabilitation

  • Chapter
  • First Online:
Klinische Kardiologie

Part of the book series: Springer Reference Medizin ((SRM))

  • 1083 Accesses

Zusammenfassung

Die kardiovaskuläre Rehabilitation (KardReha) unterstützt postakute kardiovaskuläre Patienten durch eine multidisziplinäre Intervention dabei, die bestmögliche physische und psychische Gesundheit sowie die berufliche und soziale Integration wiederzuerlangen und langfristig aufrecht zu erhalten. Medikamentöse Sekundärprävention, Trainingstherapie und Schulungen zu einem gesunden Lebensstil sowie auf Erhalt der Teilhabe ausgerichtete (psycho)soziale und ergotherapeutische Maßnahmen ergänzen sich in der multimodalen kardiovaskulären Rehabilitation sinnvoll. Nach akutem Koronarsyndrom (ACS) und aortokoronarer Bypass-Operation (ACB-Op) senkt die KardReha die Mortalität und Hospitalisationsrate signifikant. Beim chronischen Koronarsyndrom oder der stabilen chronischen Herzinsuffizienz (HFrEF, HFpEF) ließ sich eine Verbesserung der körperlichen Belastbarkeit und der Lebensqualität nachweisen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 239.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Albus C, Waller C, Fritzsche K, Gunold H, Haass M, Hamann B, Kindermann I et al (2019) Significance of psychosocial factors in cardiology: update 2018: position paper of the German Cardiac Society. Clin Res Cardiol 108(11):1175–1196. https://doi.org/10.1007/s00392-019-01488-w

    Article  PubMed  Google Scholar 

  • Anderson L, Thompson DR, Oldridge N, Zwisler A-D, Rees K, Martin N, Taylor RS (2016) Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 1:CD001800. https://doi.org/10.1002/14651858.CD001800.pub3

    Article  Google Scholar 

  • AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V.) (2020) S3-Leitlinie zur kardiologischen Rehabilitation (LL-KardReha) im deutschsprachigen Raum Europas, Deutschland, Österreich, Schweiz (D-A-CH), Langversion 2019 133/001. https://www.awmf.org/leitlinien/detail/ll/133-001.html. Zugegriffen am 04.07.2021

  • Bjarnason-Wehrens B, Nebel R, Jensen K, Hackbusch M, Grilli M, Gielen S, Schwaab B, Rauch B, German Society of Cardiovascular Prevention and Rehabilitation (DGPR) (2020) Exercise-based cardiac rehabilitation in patients with reduced left ventricular ejection fraction: the Cardiac Rehabilitation Outcome Study in Heart Failure (CROS-HF): a systematic review and meta-analysis. Eur J Prev Cardiol 27(9):929–952. https://doi.org/10.1177/2047487319854140

    Article  PubMed  Google Scholar 

  • Cardoso L, Rodrigues D, Gomes L, Carrilho F (2017) Short- and long-term mortality after bariatric surgery: a systematic review and meta-analysis. Diabetes Obes Metab 19(9):1223–1232. https://doi.org/10.1111/dom.12922

    Article  PubMed  Google Scholar 

  • Chow CK, Jolly S, Rao-Melacini P, Fox KAA, Anand SS, Yusuf S (2010) Association of diet, exercise, and smoking modification with risk of early cardiovascular events after acute coronary syndromes. Circulation 121(6):750–758. https://doi.org/10.1161/CIRCULATIONAHA.109.891523

    Article  PubMed  Google Scholar 

  • Edelmann F, Gelbrich G, Düngen H-D, Fröhling S, Wachter R, Stahrenberg R, Binder L et al (2011) Exercise training improves exercise capacity and diastolic function in patients with heart failure with preserved ejection fraction: results of the Ex-DHF (Exercise Training in Diastolic Heart Failure) Pilot Study. J Am Coll Cardiol 58(17):1780–1791. https://doi.org/10.1016/j.jacc.2011.06.054

    Article  PubMed  Google Scholar 

  • Edelmann F, Bobenko A, Gelbrich G, Hasenfuss G, Herrmann-Lingen C, Duvinage A, Schwarz S et al (2017) Exercise Training in Diastolic Heart Failure (Ex-DHF): rationale and design of a multicentre, prospective, randomized, controlled, parallel group trial. Eur J Heart Fail 19(8):1067–1074. https://doi.org/10.1002/ejhf.862

    Article  PubMed  Google Scholar 

  • Ellingsen Ø, Halle M, Conraads V, Støylen A, Dalen H, Delagardelle C, Larsen A-I, Hole T, Mezzani A, Van Craenenbroeck EM, Videm V, Beckers P, Christle JW, Winzer E, Mangner N, Woitek F, Höllriegel R, Pressler A, Monk-Hansen T, Snoer M, Feiereisen P, Valborgland T, Kjekshus J, Hambrecht R, Gielen S, Karlsen T, Prescott E, Linke A, SMARTEX Heart Failure Study (Study of Myocardial Recovery After Exercise Training in Heart Failure) Group (2017) High-intensity interval training in patients with heart failure with reduced ejection fraction. Circulation 135(9):839–849. https://doi.org/10.1161/CIRCULATIONAHA.116.022924

  • Gielen S (2021) The new EAPC core curriculum for preventive cardiology: the keystone of the EAPC transformation. Eur J Prev Cardiol:zwab079. https://doi.org/10.1093/eurjpc/zwab079

  • Gielen S, Sandri M, Kozarez I, Kratzsch J, Teupser D, Thiery J, Erbs S et al (2012) Exercise training attenuates MuRF-1 expression in the skeletal muscle of patients with chronic heart failure independent of age: the randomized leipzig exercise intervention in chronic heart failure and aging catabolism study. Circulation 125(22):2716–2727. https://doi.org/10.1161/CIRCULATIONAHA.111.047381

    Article  PubMed  Google Scholar 

  • Global BMI Mortality Collaboration, Angelantonio ED, Bhupathiraju S, Wormser D, Gao P, Kaptoge S, de Gonzalez AB et al (2016) Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents. Lancet (London, England) 388(10046):776–786. https://doi.org/10.1016/S0140-6736(16)30175-1

    Article  PubMed  Google Scholar 

  • Jewiss D, Ostman C, Smart NA (2016) The effect of resistance training on clinical outcomes in heart failure: a systematic review and meta-analysis. Int J Cardiol 221:674–681. https://doi.org/10.1016/j.ijcard.2016.07.046

    Article  PubMed  Google Scholar 

  • Keteyian SJ, Leifer ES, Houston-Miller N, Kraus WE, Brawner CA, O’Connor CM, Whellan DJ et al (2012) Relation between volume of exercise and clinical outcomes in patients with heart failure. J Am Coll Cardiol 60(19):1899–1905. https://doi.org/10.1016/j.jacc.2012.08.958

    Article  PubMed  PubMed Central  Google Scholar 

  • Kitzman DW, Whellan DJ, Duncan P, Pastva AM, Mentz RJ, Reeves GR, Benjamin Nelson M et al (2021) Physical rehabilitation for older patients hospitalized for heart failure. N Engl J Med 385(3):203–216. https://doi.org/10.1056/NEJMoa2026141

    Article  PubMed  PubMed Central  Google Scholar 

  • Long L, Anderson L, Dewhirst AM, He J, Bridges C, Gandhi M, Taylor RS (2018) Exercise-based cardiac rehabilitation for adults with stable angina. Cochrane Database Syst Rev 2:CD012786. https://doi.org/10.1002/14651858.CD012786.pub2

    Article  PubMed  Google Scholar 

  • Long L, Mordi IR, Bridges C, Sagar VA, Davies EJ, Coats AJS, Dalal H, Rees K, Singh SJ, Taylor RS (2019) Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database Syst Rev 1. https://doi.org/10.1002/14651858.CD003331.pub5

  • Mohiuddin SM, Mooss AN, Hunter CB, Grollmes TL, Cloutier DA, Hilleman DE (2007) Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest 131(2):446–452. https://doi.org/10.1378/chest.06-1587

    Article  PubMed  Google Scholar 

  • Mottillo S, Filion KB, Bélisle P, Joseph L, Gervais A, O’Loughlin J, Paradis G et al (2009) Behavioural interventions for smoking cessation: a meta-analysis of randomized controlled trials. Eur Heart J 30(6):718–730. https://doi.org/10.1093/eurheartj/ehn552

    Article  PubMed  Google Scholar 

  • O’Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES et al (2009) Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 301(14):1439–1450. https://doi.org/10.1001/jama.2009.454

    Article  PubMed  PubMed Central  Google Scholar 

  • Pandey A, Parashar A, Kumbhani DJ, Agarwal S, Garg J, Kitzman D, Levine BD, Drazner M, Berry JD (2015) Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials. Circ Heart Fail 8(1):33–40. https://doi.org/10.1161/CIRCHEARTFAILURE.114.001615

    Article  PubMed  Google Scholar 

  • Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S, Collet J-P et al (2021) 2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J 42(1):17–96. https://doi.org/10.1093/eurheartj/ehaa605

    Article  PubMed  Google Scholar 

  • Piepoli MF, Guazzi M, Boriani G, Cicoira M, Corrà U, Libera LD, Emdin M et al (2010) Exercise intolerance in chronic heart failure: mechanisms and therapies. Part I. Eur J Cardiovasc Prev Rehabil 17(6):637–642

    Article  PubMed  Google Scholar 

  • Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney M-T et al (2016) 2016 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice: the Sixth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (Constituted by Representatives of 10 Societies and by Invited Experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 37(29):2315–2381. https://doi.org/10.1093/eurheartj/ehw106

    Article  PubMed  PubMed Central  Google Scholar 

  • Porter A, Paradkar A, Goldenberg I, Shlomo N, Cohen T, Kornowski R, Eisen A (2020) Temporal trends analysis of the characteristics, management, and outcomes of women with Acute Coronary Syndrome (ACS): ACS Israeli Survey Registry 2000–2016. J Am Heart Assoc 9(1):e014721. https://doi.org/10.1161/JAHA.119.014721

    Article  PubMed  Google Scholar 

  • Puymirat E, Simon T, Cayla G, Cottin Y, Elbaz M, Coste P, Lemesle G et al (2017) Acute myocardial infarction: changes in patient characteristics, management, and 6-month outcomes over a period of 20 years in the FAST-MI program (French registry of acute ST-elevation or non-ST-elevation myocardial infarction) 1995 to 2015. Circulation 136(20):1908–1919. https://doi.org/10.1161/CIRCULATIONAHA.117.030798

    Article  PubMed  Google Scholar 

  • Rauch B, Davos CH, Doherty P, Saure D, Metzendorf M-I, Salzwedel A, Völler H, Jensen K, Schmid J-P, Cardiac Rehabilitation Section, European Association of Preventive Cardiology (EAPC), in cooperation with the Institute of Medical Biometry and Informatics (IMBI), Department of Medical Biometry, University of Heidelberg, and the Cochrane Metabolic and Endocrine Disorders Group, Institute of General Practice, Heinrich-Heine University, Düsseldorf, Germany (2016) The prognostic effect of cardiac rehabilitation in the era of acute revascularisation and statin therapy: a systematic review and meta-analysis of randomized and non-randomized studies – the Cardiac Rehabilitation Outcome Study (CROS). Eur J Prev Cardiol 23(18):1914–1939. https://doi.org/10.1177/2047487316671181

    Article  PubMed  PubMed Central  Google Scholar 

  • Rauch B, Salzwedel A, Bjarnason-Wehrens B, Albus C, Meng K, Schmid J-P, Benzer W et al (2021) Cardiac rehabilitation in German speaking countries of Europe-evidence-based guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 1. J Clin Med 10(10):2192. https://doi.org/10.3390/jcm10102192

    Article  PubMed  PubMed Central  Google Scholar 

  • Salzwedel A, Jensen K, Rauch B, Doherty P, Metzendorf M-I, Hackbusch M, Völler H, Schmid J-P, Davos CH (2020) Effectiveness of comprehensive cardiac rehabilitation in coronary artery disease patients treated according to contemporary evidence based medicine: update of the Cardiac Rehabilitation Outcome Study (CROS-II). Eur J Prev Cardiol 27(16):1756–1774. https://doi.org/10.1177/2047487320905719

    Article  PubMed  PubMed Central  Google Scholar 

  • Sandesara PB, Lambert CT, Gordon NF, Fletcher GF, Franklin BA, Wenger NK, Sperling L (2015) Cardiac rehabilitation and risk reduction: time to ‚rebrand and reinvigorate. J Am Coll Cardiol 65(4):389–395. https://doi.org/10.1016/j.jacc.2014.10.059

    Article  PubMed  Google Scholar 

  • Santiago de Araújo Pio C, Marzolini S, Pakosh M, Grace SL (2017) Effect of cardiac rehabilitation dose on mortality and morbidity: a systematic review and meta-regression analysis. Mayo Clin Proc 92(11):1644–1659. https://doi.org/10.1016/j.mayocp.2017.07.019

    Article  PubMed  Google Scholar 

  • Schwaab B, Bjarnason-Wehrens B, Meng K, Albus C, Salzwedel A, Schmid JP, Benzer W et al (2021) Cardiac Rehabilitation in German Speaking Countries of Europe-Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 2. J Clin Med 10(14):3071. https://doi.org/10.3390/jcm10143071

  • Smith KM, McKelvie RS, Thorpe KE, Arthur HM (2011) Six-year follow-up of a randomised controlled trial examining hospital versus home-based exercise training after coronary artery bypass graft surgery. Heart 97(14):1169–1174. https://doi.org/10.1136/hrt.2010.202036

    Article  PubMed  Google Scholar 

  • Sotos-Prieto M, Bhupathiraju SN, Mattei J, Fung TT, Li Y, Pan A, Willett WC, Rimm EB, Frank BH (2017) Association of changes in diet quality with total and cause-specific mortality. N Engl J Med 377(2):143–153. https://doi.org/10.1056/NEJMoa1613502

    Article  PubMed  PubMed Central  Google Scholar 

  • Stewart RAH, Wallentin L, Benatar J, Danchin N, Hagström E, Held C, Husted S et al (2016) Dietary patterns and the risk of major adverse cardiovascular events in a global study of high-risk patients with stable coronary heart disease. Eur Heart J 37(25):1993–2001. https://doi.org/10.1093/eurheartj/ehw125

    Article  PubMed  PubMed Central  Google Scholar 

  • Taylor RS, Walker S, Ciani O, Warren F, Smart NA, Piepoli M, Davos CH (2019) Exercise-based cardiac rehabilitation for chronic heart failure: the EXTRAMATCH II individual participant data meta-analysis. Health Technol Assess (Winch Engl) 23(25):1–98. https://doi.org/10.3310/hta23250

    Article  Google Scholar 

  • Wilhelm M, Abreu A, Adami PE, Ambrosetti M, Antonopoulou M, Biffi A, Cavarretta E et al (2021) EAPC core curriculum for preventive cardiology. Eur J Prev Cardiol:zwab017. https://doi.org/10.1093/eurjpc/zwab017

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephan Gielen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gielen, S., Rauch, B., Schwaab, B. (2023). Kardiovaskuläre Rehabilitation. In: Marx, N., Erdmann, E. (eds) Klinische Kardiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62932-1_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-62932-1_39

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-62931-4

  • Online ISBN: 978-3-662-62932-1

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics