key: cord-0979354-la1j7qv3
authors: Peters, R. J. G.
title: Cardiac rehabilitation and telemedicine (and COVID-19)
date: 2020-07-15
journal: Neth Heart J
DOI: 10.1007/s12471-020-01473-3
sha: ce8dbe9c26425af32d8d6bb4da31c69270ac6b6e
doc_id: 979354
cord_uid: la1j7qv3

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personalised, CR can be provided in shorter sessions if appropriate, and support may be offered for longer periods of time. Individual health data, such as heart rate, can be assessed during normal daily activities, which allows personalised feedback and education by a healthcare professional.

The review article by Brouwers et al. in this issue outlines the numerous advantages of CTR [6] . As the authors point out, an initial centre-based introduction and evaluation appears appropriate, from both a safety and a psychological standpoint. Patients may be more motivated if they know the members of the professional team and may be more confident after initial testing and exercising at the rehabilitation centre. In addition, the (initial) company of other patients may be stimulating and motivating.

For a balanced view on CTR, potential disadvantages need to be considered. With home-based CR, the patient does not benefit from the environment of a professional CR centre, including the company of other patients who may provide peer support, the physical presence of healthcare professionals and the availability of equipment in case of complications. Fortunately, the risk of cardiac complications during activities of rehabilitation is very low. In a large observational study in France, the cardiac arrest rate was 1.3 per million patient-hours of exercise; neither fatal complications nor emergency defibrillations were reported [7] .

CTR aligns perfectly with the recent societal measures that have been instituted to control the outbreak of the coronavirus disease (COVID-19). For patients with heart disease, CTR offers a significant additional benefit by limiting exposure to others during group meetings. use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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