Die Herzinsuffizienz führt jährlich in Deutschland zu
Behandlungskosten in Höhe von >5 Mrd. Euro. Die weltweite
Prävalenz soll in den nächsten 15 Jahren um 25%
zunehmen, und es ist mit einem Anstieg der Krankheitskosten um über
200% zu rechnen. Gründe sind u.a. die Zunahme
kostenintensiver Prozeduren und die Abnahme der
Krankenhausmortalität. Durch das multimodale Programm der
Rehabilitation kann dieser Kreislauf unterbrochen werden.
Abstract
Heart failure patients (HF-rEF, HF-pEF or in combination) represent a relevant
proportion of patients in cardiological rehabilitation facilities. They require
a multimodal therapy concept due to the impaired systolic and/or
diastolic ventricular function, the risk of malignant arrhythmias and the
cardiac implantable electrical devices (CIED). In addition to guideline-based
pharmacotherapy, individualized training therapy and psychosocial support play a
key role in the rehabilitation of heart failure patients. Professional
reintegration is determined by hemodynamic stability, cognitive performance, job
requirements and job security, especially for CIED carriers. The suitability for
driving is mainly determined in individual decisions and depends, among other
things, on the left ventricular ejection fraction, the hemodynamic stability and
the arrhythmia-free interval.
Schlüsselwörter
Kardiologische Rehabilitation - Herzinsuffizienz - Spiroergometrie - Defibrillator
- Trainingstherapie
Key word
Cardiac rehabilitation - heart failure - cardio-pulmonary exercise testing - defibrillator
- training therapy
