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Clinical Practice Guideline for Cardiac Rehabilitation in Korea

 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  ;  Heeyoune Jung  ;  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 
 Annals of Rehabilitation Medicine, Vol.43(3) : 355-443, 2019 
Journal Title
Annals of Rehabilitation Medicine
Issue Date
Acute coronary syndrome ; Cardiac rehabilitation ; Clinical practice guidelines ; Mortality ; Secondary prevention
Objective: 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 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 three 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.

Methods: 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 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two 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, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified.

Principal Conclusions: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular 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.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
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