TY  - JOUR
A1  - Vigorito, Carlo
A1  - Abreu, Ana
A1  - Ambrosetti, Marco
A1  - Belardinelli, Romualdo
A1  - Corra, Ugo
A1  - Cupples, Margaret
A1  - Davos, Constantinos H.
A1  - Hoefer, Stefan
A1  - Iliou, Marie-Christine
A1  - Schmid, Jean-Paul
A1  - Völler, Heinz
A1  - Doherty, Patrick
T1  - Frailty and cardiac rehabilitation: A call to action from the EAPC Cardiac Rehabilitation Section
JF  - European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology
N2  - 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.
KW  - Frailty
KW  - cardiac rehabilitation
KW  - elderly
Y1  - 2017
U6  - https://doi.org/10.1177/2047487316682579
SN  - 2047-4873
SN  - 2047-4881
VL  - 24
SP  - 577
EP  - 590
PB  - Sage Publ.
CY  - London
ER  -