International journal of cardiology. Cardiovascular risk and prevention · 2025
ITACARE-P/SIGG/SIGOT/SICGE position paper on elderly cardiac patient referral to cardiac rehabilitation.
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Giallauria Francesco, Sciacqua Angela, Pratesi Alessandra, De Lucia Claudio, Leosco Dario, Occhiuzzi Enrico, Scuteri Angelo, Ungar Andrea, Vigorito Carlo, Fattirolli Francesco, Baldasseroni Samuele, Guasti Luigina, Maranta Francesco, Mureddu Gian Francesco, Ruzzolini Matteo, Silverii Maria Vittoria, Venturini Elio, Vetta Francesco, Boccanelli Alessandro, Palleschi Lorenzo, Marchionni Niccolò, Ambrosetti Marco
Аннотация
The Italian Association for Cardiovascular Rehabilitation and Prevention (ITACARE-P) together with the Società Italiana di Gerontologia e Geriatria (SIGG); Società Italiana di Geriatria Ospedale e Territorio (SIGOT); SICGE, Società Italiana di Cardiologia Geriatrica (SICGE) released a joint position paper to guide referrals of elderly cardiovascular patients discharged from Geriatric wards to Cardiac Rehabilitation (CR) facilities. The document provides rationale and operative recommendations for appropriateness (i.e. qualifying diagnosis) and priority criteria to overcome mismatch between potential demand and effective supply of CR programmes. In case of no-referral due to logistic restraints, the document recommends the adoption of best alternatives to CR for disability reduction, better prognosis, and improvement of quality of life. The joint position paper is also aimed at promoting the consideration of Geriatric Medicine as a potential stakeholder of CR.