This overview of CR in Europe was prepared by:
- Prof. Jorge A. Ruivo, EAPC Prevention Implementation Comm. Young Community representative
- Prof. Ana Abreu, EAPC Secondary Prevention & Rehabilitation Section Past-Chair
- Prof. Joep Perk, EAPC Prevention Implementation Comm. Deputy-Chair
- Prof. Paul Dendale, EAPC President
Highlights and comparisons of phase II programmes
In this overview section on cardiac rehabilitation (CR) the reader may find a valuable source of information and inspiration based on the work of the National CVD Prevention Coordinators from ESC member countries.
- to broadly compare the national CR phase II services
- to reveal contrasting strategies
- to describe features unique to certain countries
This was accomplished in two parts:
- The first part (2017) was derived from the synthesis of 28 "Country of the Month" reports. It extensively describes phase II programmes in Europe, however because of the open format of the reports, not every topic was represented in all countries.
- The second part (2019) originated from the results of an online survey sent to the National CVD Prevention Coordinators of ESC member countries. Answering all 13 hot CR topic questions was mandatory to allow a full set of data for comparison.
Hopefully, this summary allows you to feel the pulse of CR in Europe as a whole and highlights successful measures that could be generalised as much as possible.
There are many lessons to be learnt!
Part 1: Country of the Month reports
This part is divided into six major topics, with more detailed information from specific countries under each topic:
- For whom is cardiac rehabilitation indicated? - The patient
- Which CR programme is provided? - The programme
- By whom is the CR programme conducted? - The team
- Where is the programme offered? - The centre
- What is the quality? - The outcome
- The plans for the future - The future
Part 2: Online survey (13 core questions)
An online survey was sent to National CVD Prevention Coordinators of 51 ESC member countries (82% participation rate) to cover important demographic, structural and quality control topics:
- Cardiovascular prevention and rehabilitation guidelines followed
- Major barriers to implementation and use of cardiovascular prevention and rehabilitation guidelines
- Implementation of guidance documents
- CR phase II uptake rate after myocardial infarction
- CR phase II dropout rate after myocardial infarction
- CR phase II average start time after myocardial infarction
- CR phase II average duration of program after myocardial infarction
- Percentage of CR phase II national programmes which rely on inpatient/residential services after myocardial infarction
- National percentage of phase II CR programmes which are medically coordinated by a cardiologist
- CR mandatory rotation in cardiology training
- Percentage of CR programmes mainly provided by public funding
- National accreditation program for licensing CR programs
- National CR electronic database registry
Presentation of the results
Note: if you would like to use this presentation, please make sure you refer to the source of the data in your acknowledgement: "Overview of Cardiac Rehabilitation in ESC member countries", EAPC Prevention in your Country section (www.escardio.org/EAPC).
Graphical summary of the key findings:
To be announced.
Note: The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.