Cardiac Rehabilitation During the COVID-19 Era: Guidance on Implementing Virtual Care

Nathaniel Moulson, David Bewick, Tracy Selway, Jennifer Harris, Neville Suskin, Paul Oh, Thais Coutinho, Gurmeet Singh, Chi Ming Chow, Brian Clarke, Simone Cowan, Christopher B. Fordyce, Anne Fournier, Kenneth Gin, Anil Gupta, Sean Hardiman, Simon Jackson, Yoan Lamarche, Benny Lau, Jean François LégaréHoward Leong-Poi, Samer Mansour, Ariane Marelli, Ata ur Rehman Quraishi, Idan Roifman, Marc Ruel, John Sapp, Gary Small, Ricky Turgeon, David A. Wood, Shelley Zieroth, Sean Virani, Andrew D. Krahn

Research output: Contribution to journalArticlepeer-review

70 Citations (Scopus)

Abstract

Cardiac rehabilitation programs across Canada have suspended in-person services as a result of large-scale physical distancing recommendations designed to flatten the COVID-19 pandemic curve. Virtual cardiac rehabilitation (VCR) offers an alternate mechanism of care delivery, capable of providing similar patient outcomes and safety profiles compared with centre-based programs. To minimize care gaps, all centres should consider developing and implementing a VCR program. The process of this rapid implementation, however, can be daunting. Centres should initially focus on the collation, utilization, and repurposing of existing resources, equipment, and technology. Once established, programs should then focus on ensuring that quality indicators are met and care processes are protocolized. This should be followed by the development of sustainable VCR solutions to account for care gaps that existed before COVID-19, and to improve cardiac rehabilitation delivery, moving forward. This article reviews the potential challenges and obstacles of this process and aims to provide pragmatic guidance to aid clinicians and administrators during this challenging time.

Original languageEnglish
Pages (from-to)1317-1321
Number of pages5
JournalCanadian Journal of Cardiology
Volume36
Issue number8
DOIs
Publication statusPublished - Aug 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Canadian Cardiovascular Society

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine

PubMed: MeSH publication types

  • Journal Article
  • Practice Guideline

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