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Cardiac rehabilitation: sedentary lifestyle, frailty and chronicity

How has the situation evolved regarding old risk factors in the new pandemic scenarios? It is a widely known fact that secondary prevention through cardiac rehabilitation is as an essential part of the care of all cardiac patients.
However, the measures have proved necessary to reduce the spread of the virus, however their implementation has made the development of traditional cardiac rehabilitation programs complex. In most of the affected areas, these programs have been abruptly stopped or have been significantly reduced because they were deemed non-essential during the peak of the pandemic period.
Therefore, the drastic reductions in physical activity caused by the stringent safety measures will certainly have a significant impact on public health in the long term: so, there will be an alarming trend in the increase of patients with cardiovascular diseases.
Hence it will be a priority to act on those conditions most at risk, then try to slow down the progression of reversible conditions (sarcopenia, frailty) and to control chronic situations; furthermore, set up aerobic training programs and strength training supervised by a physiotherapist to recover cardiovascular fitness.