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Cardiac Rehabilitation in Older Adults with Heart Failure: Fitting a Square Peg in a Round Hole.

Division of Cardiology, Rocky Mountain Regional VA Medical Center, 1700 North Wheeling Street, Cardiology F2 (111B), Aurora, CO 80045, USA. Electronic address: Kelsey.Flint@ucdenver.edu. Departments of Medicine, Orthopedic Surgery, and Population Health Sciences, Duke University School of Medicine, Duke Claude D. Pepper Older American Independence Center, 2200 West Main Street, Suite B-230, Wing B, #216, Durham, NC 27705, USA. Department of Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, PA 19107, USA; Advanced Heart Failure for the Greater Charlotte Market, Novant Health Heart and Vascular Institute, 1718 E 4th Street, Suite 501, Charlotte, NC 28204, USA. Electronic address: gordon.r.reeves@gmail.com.

Clinics in geriatric medicine. 2019;(4):517-526
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Abstract

Cardiac rehabilitation (CR) is a structured exercise and lifestyle program that improves mortality and quality of life in patients with heart failure (HF) with reduced ejection fraction. However, significant gaps remain in optimizing CR for older adults with HF. This review summarizes the state of the science and specific knowledge gaps regarding older adults with HF. The authors discuss the importance of geriatric complexities in the design and implementation of CR, summarize promising future research in this area, and provide a clinical framework for current CR clinicians to follow when considering the specific needs of older adults with HF.

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Publication Type : Review

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