• Eur J Prev Cardiol · May 2021

    Multicenter Study

    Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era.

    • Marco Ambrosetti, Ana Abreu, Veronique Cornelissen, Dominique Hansen, Marie Christine Iliou, Hareld Kemps, Roberto Franco Enrico Pedretti, Heinz Voller, Mathias Wilhelm, Massimo Francesco Piepoli, Chiara Giuseppina Beccaluva, Paul Beckers, Thomas Berger, Costantinos H Davos, Paul Dendale, Wolfram Doehner, Ines Frederix, Dan Gaita, Andreas Gevaert, Evangelia Kouidi, Nicolle Kraenkel, Jari Laukkanen, Francesco Maranta, Antonio Mazza, Miguel Mendes, Daniel Neunhaeuserer, Josef Niebauer, Bruno Pavy, GilCarlos PeñaCPDepartment of Cardiology, Complexo Hospitalario Universitario de Santiago de Compostela, CV, SERGAS CIBER, IDIS, Santiago, Spain., Bernhard Rauch, Simona Sarzi Braga, Maria Simonenko, Alain Cohen-Solal, Marinella Sommaruga, Elio Venturini, and Carlo Vigorito.
    • Department of Cardiac Rehabilitation, ICS Maugeri Care and Research Institute, Via S. Maugeri, 4, 27100 Pavia, Italy.
    • Eur J Prev Cardiol. 2021 May 14; 28 (5): 541-557.

    AbstractThis Delphi consensus by 28 experts from the European Association of Preventive Cardiology (EAPC) provides initial recommendations on how cardiovascular rehabilitation (CR) facilities should modulate their activities in view of the ongoing coronavirus disease 2019 (COVID-19) pandemic. A total number of 150 statements were selected and graded by Likert scale [from -5 (strongly disagree) to +5 (strongly agree)], starting from six open-ended questions on (i) referral criteria, (ii) optimal timing and setting, (iii) core components, (iv) structure-based metrics, (v) process-based metrics, and (vi) quality indicators. Consensus was reached on 58 (39%) statements, 48 'for' and 10 'against' respectively, mainly in the field of referral, core components, and structure of CR activities, in a comprehensive way suitable for managing cardiac COVID-19 patients. Panelists oriented consensus towards maintaining usual activities on traditional patient groups referred to CR, without significant downgrading of intervention in case of COVID-19 as a comorbidity. Moreover, it has been suggested to consider COVID-19 patients as a referral group to CR per se when the viral disease is complicated by acute cardiovascular (CV) events; in these patients, the potential development of COVID-related CV sequelae, as well as of pulmonary arterial hypertension, needs to be focused. This framework might be used to orient organization and operational of CR programmes during the COVID-19 crisis.Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.

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