Document Type : Letter to Editor
1 Health Science/ Exercise physiology, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
2 Department of Cardiovascular Surgery, Shahrekord University of Medical Sciences, Shahrekord, Iran
Covid 19 infection has a profound effect on cardiac rehabilitation (CR) program. With public quarantine policies, hospital based cardiac rehabilitation services were impossible in most countries, including Iran. that the consequences of reduced access and long term closure of CR centers may lead to long term complications include increased hospital admission and re-exposure of this vulnerable population to. These challenges have led many countries' rehabilitation centers and health care systems to develop and replace cardiac rehabilitation models such as E - health interventions and the use of mobile technology to provide these services with remote patient monitoring in order to reduce the effects of the spread of the epidemic, and to remove the barriers between physician – patient communication and in order to continue care and secondary prevention measures for cardiovascular patients. Therefore, due to the prolongation of the COVID-19 pandemic period and the identification of various types of coronavirus mutations, it is suggested that health - care services and cardiac rehabilitation associations in Iran create the necessary infrastructure to support and use digital methods and smartphone application
- Cajanding RJ. Comprehensive Review of Cardiovascular Involvement in COVID-19. AACN Adv Crit Care. 2021 Jun 15;32(2):169-87.
- Fell J, Dale V, Doherty P. Does the timing of cardiac rehabilitation impact fitness outcomes? An observational analysis. Open Heart. 2016 Aug 1;3(1):e000369.
- Marzolini S, Blanchard C, Alter DA, Grace SL, Oh PI. Delays in referral and enrolment are associated with mitigated benefits of cardiac rehabilitation after coronary artery bypass surgery. Circ: Cardiovasc qual outcomes. 2015 Nov;8(6):608-20. 2015;8(6):608-20.
- Moulson N, Bewick D, Selway T, Harris J, Suskin N, Oh P, Coutinho T, Singh G, Chow CM, Clarke B, Cowan S. Cardiac rehabilitation during the COVID-19 era: guidance on implementing virtual care. Can J Cardiol. 2020 Aug 1;36(8):1317-21.
- Scherrenberg M, Wilhelm M, Hansen D, Völler H, Cornelissen V, Frederix I, Kemps H, Dendale P. The future is now: a call for action for cardiac telerehabilitation in the COVID-19 pandemic from the secondary prevention and rehabilitation section of the European Association of Preventive Cardiology. Eur J Prev Cardiol. 2021 May;28(5):524-40.
- Vigorito C, Faggiano P, Mureddu GFJMAfCD. COVID-19 pandemic: what consequences for cardiac rehabilitation?. Monaldi Arch Chest Dis. 2020;90(1).
- Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020 Mar 17;323(11):1061-9.
- Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang J, Liu Y, Wei Y, Yu T. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The lancet. 2020;395(10223):507-13.
- Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-42.
- Saner HJEjopc. Digital health implementation: How to overcome the barriers? : SAGE Publications Sage UK: London, England; 2019. p. 1164-5.
- Frederix I, Caiani EG, Dendale P, Anker S, Bax J, Böhm A, et al. ESC e-Cardiology Working Group Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine. Eur J Prev Cardiol. 2019;26(11):1166-77.
- Yeo TJ, Wang Y-TL, Low TTJEjopc. Have a heart during the COVID-19 crisis: Making the case for cardiac rehabilitation in the face of an ongoing pandemic. Eur J Prev Cardiol. 2020;27(9):903-5.
- Mah SS-Y, editor A case study of telehealth usage in three first nation communities: understanding the role of technology users in health care practice (Unpublished doctoral thesis). 2011. University of Calgary, Calgary, AB.
- Dehghan K, Zareipour MA, Zamaniahari S, Azari MTJOAMJoMS. Tele education in diabetic patients during coronavirus outbreak. Open Access Maced J Med Sci. 2020;8(T1):610-2.
- Jin K, Khonsari S, Gallagher R, Gallagher P, Clark AM, Freedman B, et al. Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2019;18(4):260-71.
- Walters DL, Sarela A, Fairfull A, Neighbour K, Cowen C, Stephens B, et al. A mobile phone-based care model for outpatient cardiac rehabilitation: the care assessment platform (CAP). BMC Cardiovasc Disord. 2010;10(1):1-8.
- Park LG, Beatty A, Stafford Z, Whooley MAJPicd. Mobile phone interventions for the secondary prevention of cardiovascular disease. Prog Cardiovasc Dis. 2016;58(6):639-50.
- Pegorari MS, Ohara DG, Matos AP, CR Iosimuta N, TK Ferreira V, Carolina PN Pinto AJPT, et al. Barriers and challenges faced by Brazilian physiotherapists during the COVID-19 pandemic and innovative solutions: lessons learned and to be shared with other countries. Physiother Theory Pract. 2020;36(10):1069-76.
- Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE, et al. Home-based cardiac rehabilitation: a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 2019;140(1):e69-e89.
- Rafati-Fard MJAa. Using technology and electronic devices to provide cardiac rehabilitation services. ARYA Atheroscler. 2020;16(3):151-2.