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Cardiac rehabilitation activities during the COVID-19 pandemic in Italy. Position Paper of the AICPR (Italian Association of Clinical Cardiology, Prevention and Rehabilitation).

Cardiology and Cardiac Rehabilitation Unit, Cardiovascular Department, San Giovanni-Addolorata Hospital, Rome. mureddu.gianfra@gmail.com. Department of Cardiac Rehabilitation, ICS Maugeri IRCCS, Pavia. marco.ambrosetti@icsmaugeri.it. Cardiac Rehabilitation Unit, Azienda USL Toscana Nord-Ovest, Civil Hospital of Cecina. vent.elio@tin.it. Department of Cardiac Rehabilitation, ICS Maugeri IRCCS, Institute of Montescano (PV). mariateresa.larovere@icsmaugeri.it. Department of Cardiac Rehabilitation, ICS Maugeri IRCCS, Pavia. antonio.mazza@icsmaugeri.it. Cardiology Division, IRCCS MultiMedica, Sesto S. Giovanni (MI). roberto.pedretti@icsmaugeri.it. Cardiovascular Rehabilitation Unit, Buccheri La Ferla Fatebenefratelli Hospital, Palermo. sarullo.filippo@fbfpa.it. Department of Experimental and Clinical Medicine, University of Florence. francesco.fattirolli@unifi.it. Cardiology Division, Spedali Civili and University of Brescia. cardiologia@pompiliofaggiano.it. Department of Translational Medical Sciences, Federico II University of Naples. francesco.giallauria@unina.it. Department of Translational Medical Sciences, Federico II University of Naples. vigorito@unina.it. Psychology Service, ICS Maugeri IRCCS, Institute of Turin. elisabetta.angelino@icsmaugeri.it. Clinical Nutrition and Dietetic Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCC, Pavia. silvia.brazzo@gmail.com. Cardiology Division, Fatebenefratelli-Isola Tiberina Hospital, Rome. mureddu.gianfra@gmail.com.

Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace. 2020;(2)
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Abstract

The COVID-19 outbreak is having a significant impact on both cardiac rehabilitation (CR) inpatient and outpatient healthcare organization. The variety of clinical and care scenarios we are observing in Italy depends on the region, the organization of local services and the hospital involved. Some hospital wards have been closed to make room to dedicated beds or to quarantine the exposed health personnel. In other cases, CR units have been converted or transformed into COVID-19 units.  The present document aims at defining the state of the art of CR during COVID-19 pandemic, through the description of the clinical and management scenarios frequently observed during this period and the exploration of the future frontiers in the management of cardiac rehabilitation programs after the COVID-19 outbreak.