Vigorito, Carlo, Abreu, Ana, Ambrosetti, Marco et al. (9 more authors) (2016) Frailty and cardiac rehabilitation:A call to action from the EAPC Cardiac Rehabilitation Section. European journal of preventive cardiology. ISSN 2047-4881
Abstract
Frailty is a geriatric syndrome characterised by a vulnerability status associated with declining function of multiple physiological systems and loss of physiological reserves. Two main models of frailty have been advanced: the phenotypic model (primary frailty) or deficits accumulation model (secondary frailty), and different instruments have been proposed and validated to measure frailty. However measured, frailty correlates to medical outcomes in the elderly, and has been shown to have prognostic value for patients in different clinical settings, such as in patients with coronary artery disease, after cardiac surgery or transvalvular aortic valve replacement, in patients with chronic heart failure or after left ventricular assist device implantation.The prevalence, clinical and prognostic relevance of frailty in a cardiac rehabilitation setting has not yet been well characterised, despite the increasing frequency of elderly patients in cardiac rehabilitation, where frailty is likely to influence the onset, type and intensity of the exercise training programme and the design of tailored rehabilitative interventions for these patients.Therefore, we need to start looking for frailty in elderly patients entering cardiac rehabilitation programmes and become more familiar with some of the tools to recognise and evaluate the severity of this condition. Furthermore, we need to better understand whether exercise-based cardiac rehabilitation may change the course and the prognosis of frailty in cardiovascular patients.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The European Society of Cardiology 2016. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 15 Feb 2017 12:00 |
Last Modified: | 08 Feb 2025 00:21 |
Published Version: | https://doi.org/10.1177/2047487316682579 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1177/2047487316682579 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:112343 |
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Filename: Frailty_paper_Draft_n_14_Author_accepted_manuscript_post_peer_review.pdf
Description: Frailty paper Draft n 14 Author accepted manuscript post peer review