Clinical Practice Guideline for Cardiac Rehabilitation in Korea: Recommendations for Cardiac Rehabilitation and Secondary Prevention after Acute Coronary Syndrome

Chul Kim; Jidong Sung; Jong Hwa Lee; Won-Seok Kim; Goo Joo Lee; Sungju Jee; Il-Young Jung; Ueon Woo Rah; Byung Ok Kim; Kyoung Hyo Choi; Bum Sun Kwon; Seung Don Yoo; Heui Je Bang; Hyung Ik Shin; Yong Wook Kim; 정희연; Eung Ju Kim; Jung Hwan Lee; In Hyun Jung; Jae-Seung Jung; Jong-Young Lee; Jae-Young Han; Eun Young Han; Yu Hui Won; Woosik Han; Sora Baek; Kyung-Lim Joa; Sook Joung Lee; Ae Ryoung Kim; So Young Lee; Jihee Kim; Hee Eun Choi; Byeong-Ju Lee; Soon Kim

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저자정보: Chul Kim (Sanggye Paik Hospital) Jidong Sung (Sungkyunkwan University School of Medicine–Heart Vascular Stroke Institute Samsung Medical Center) Jong Hwa Lee (Dong-A University College of Medicine–Regional Cardiocerebrovascular Center Dong-A Medical Center) Won-Seok Kim (Seoul National University Bundang Hospital) Goo Joo Lee (Chungbuk National University Hospital) Sungju Jee (Chungnam National University Hospital) Il-Young Jung (Chugnam National University Hospital) Ueon Woo Rah (Ajou University School of Medicine Suwon) Byung Ok Kim (Sanggye Paik Hospital Inje University School of Medicine) Kyoung Hyo Choi (Asan Medical Center University of Ulsan College of Medicine) Bum Sun Kwon (Dongguk University College of Medicine) Seung Don Yoo (Kyung Hee University College of Medicine) Heui Je Bang (Chungbuk National University Hospital Chungbuk Regional Cardiocerebrovascular Center) Hyung Ik Shin (Seoul National University College of Medicine) Yong Wook Kim (Yonsei University College of Medicine) 정희연 (National Traffic Injury Rehabilitation Hospital) Eung Ju Kim (Korea University Guro Hospital) Jung Hwan Lee (Namdarun Rehabilitation Clinic) In Hyun Jung (Sanggye Paik Hospital Inje University School of Medicine) Jae-Seung Jung (Anam Hospital Korea University Medical Center) Jong-Young Lee (Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine) Jae-Young Han (Gwangju-Jeonnam Regional Cardiocerebrovascular Center Chonnam National University Medical School &a) Eun Young Han (Jeju National University School of Medicine) Yu Hui Won (Research Institute of Clinical Medicine of Chonbuk National University–Biomedical Research Institut) Woosik Han (Chungnam National University Hospital) Sora Baek (Kangwon National University School of Medicine–Kangwon Regional Cardiocerebrovascular Center) Kyung-Lim Joa (Department of Rehabilitation Medicine Inha University Hospital) Sook Joung Lee (Daejeon St. Mary’s Hospital College of Medicine The Catholic University of Korea) Ae Ryoung Kim (Kyungpook National University School of Medicine) So Young Lee (Jeju National University School of Medicine) Jihee Kim (Wonkwang University School of Medicine) Hee Eun Choi (Inje University Haeundae Paik Hospital) Byeong-Ju Lee (Pusan National University Hospital) Soon Kim (Research Institute for Social Science Ewha Woman’s University)

저널정보: 대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.49 No.11

발행연도: 2019.1

수록면: 1,066 - 1,111 (46page)

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Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular (CV) disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of thirty-three authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers CV mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

#Acute coronary syndrome #Cardiac rehabilitation #Mortality #Clinical practice guideline #Secondary prevention

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참고문헌 신청

신현영 / 2016 / 2014년 사망원인 통계 / 대한의사협회지 59(3):221~232

이승원 / 2015 / Thirty-Year Trends in Mortality from Cardiovascular Diseases in Korea / Korean Circulation Journal 45(3):202~209

Korean Statistical Information Service / 2016 / Cause of Death Statistics / Korean Statistical Information Service

Canadian Association of Cardiac Rehabilitation / 2009 / Canadian guidelines for cardiac rehabilitation and cardiovascular disease prevention: translating knowledge into action / Canadian Association of Cardiac Rehabilitation

Scottish Intercollegiate Guidelines Network (SIGN) / 2017 / Cardiac rehabilitation: a national clinical guideline / SIGN

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Chul Kim

소속기관 Sanggye Paik Hospital

주요연구분야 의약학 > 임상의학 > 내과학

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