2026 Update of the Core Components of Cardiovascular Rehabilitation: A Position Statement From the Australian Cardiovascular Health and Rehabilitation Association (ACRA)

作者：Dion Candelaria, Julie Redfern, R. Zecchin, Roschelle Brown, Nicole Freene, Shihoko Fukumori, Robyn Gallagher, Sarah Gauci, Andrew Goodman, Darren Hicks, Matthew Hollings, Lucy Kocanda, Adam Livori, Andrew Maiorana, Kegan Moneghetti, Helen M. Parker, Samara Phillips, Vanessa Poulsen, Jonathan C Rawstorn, Christine Rees, Jenna L. Taylor, Joanna Williams, Steve Woodruffe, Chiung‐Jung Wu, Tom Briffa, Susie Cartledge · 发表于：Heart Lung and Circulation · 年份：2026 · DOI：10.1016/j.hlc.2026.05.008 · 被引用次数：5 · 研究领域：Cardiac Health and Mental Health、Cardiovascular Health and Risk Factors、Stroke Rehabilitation and Recovery

Introduction: Cardiovascular disease (CVD) remains a leading cause of death and disability both globally and in Australia [1,2]. In 2022, an estimated 1.3 million Australian adults were living with CVD [2]. Up to 57% of CVD cases and 22% of all-cause deaths are attributable to key modifiable risk factors, highlighting the substantial potential for prevention [3]. Cardiovascular rehabilitation and secondary prevention programs are highly effective strategies for reducing repeat cardiac and new stroke events, improving quality of life, and supporting long-term cardiovascular health [4–6]. The benefits of cardiovascular rehabilitation are well established and widely endorsed by national [4] and international clinical practice guidelines [5,6]. Cardiovascular rehabilitation has traditionally been delivered via structured, multidisciplinary programs that provide comprehensive risk factor management through supervised exercise training, education, psychosocial support, and by supporting adherence to evidence-based medical therapy [4,7,8]. Programs are delivered across a range of healthcare settings (public, private and community health) and through different modes, including in-person, telehealth, and digital/virtual formats. Models of care also vary and may include centre-based, home-based, hybrid and hub-and-spoke approaches [9]. Contemporary thinking frames cardiovascular rehabilitation within the broader concept of lifelong cardiovascular health, rather than as a time-limited i...