{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:26:36Z","timestamp":1780615596919,"version":"3.54.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T00:00:00Z","timestamp":1604707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This Delphi consensus by 28 experts from the European Association of Preventive Cardiology (EAPC) provides initial recommendations on how cardiovascular rehabilitation (CR) facilities should modulate their activities in view of the ongoing coronavirus disease 2019 (COVID-19) pandemic. A total number of 150 statements were selected and graded by Likert scale [from \u22125 (strongly disagree) to +5 (strongly agree)], starting from six open-ended questions on (i) referral criteria, (ii) optimal timing and setting, (iii) core components, (iv) structure-based metrics, (v) process-based metrics, and (vi) quality indicators. Consensus was reached on 58 (39%) statements, 48 \u2018for\u2019 and 10 \u2018against\u2019 respectively, mainly in the field of referral, core components, and structure of CR activities, in a comprehensive way suitable for managing cardiac COVID-19 patients. Panelists oriented consensus towards maintaining usual activities on traditional patient groups referred to CR, without significant downgrading of intervention in case of COVID-19 as a comorbidity. Moreover, it has been suggested to consider COVID-19 patients as a referral group to CR per se when the viral disease is complicated by acute cardiovascular (CV) events; in these patients, the potential development of COVID-related CV sequelae, as well as of pulmonary arterial hypertension, needs to be focused. This framework might be used to orient organization and operational of CR programmes during the COVID-19 crisis.<\/jats:p>","DOI":"10.1093\/eurjpc\/zwaa080","type":"journal-article","created":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T04:13:55Z","timestamp":1609474435000},"page":"541-557","source":"Crossref","is-referenced-by-count":36,"title":["Delphi consensus recommendations on how to provide cardiovascular rehabilitation in the COVID-19 era"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9878-4565","authenticated-orcid":false,"given":"Marco","family":"Ambrosetti","sequence":"first","affiliation":[{"name":"Department of Cardiac Rehabilitation, ICS Maugeri Care and Research Institute, Via S. 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Berlin Institute of Health Center for Regenerative Therapies, Center for Stroke Research Berlin, Charit\u00e9 Universit\u00e4tsmedizin, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Frederix","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Jessa Hospital, Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Gaita","sequence":"additional","affiliation":[{"name":"Institutul de Boli Cardiovasculare, Universitatea de Medicina si Farmacie Victor Babes din Timisoara, Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Heart Centre, Jessa Hospital Campus Virga Jesse, Hasselt, Belgium"},{"name":"Research Group Cardiovascular Diseases, GENCOR Department, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelia","family":"Kouidi","sequence":"additional","affiliation":[{"name":"Laboratory of Sports Medicine, Aristotle University of Thessaloniki, Thessalon\u00edki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolle","family":"Kraenkel","sequence":"additional","affiliation":[{"name":"Charit\u00e9 \u2013 University Medicine Berlin, Berlin, Germany"},{"name":"German Centre for Cardiovascular Research (DZHK), Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jari","family":"Laukkanen","sequence":"additional","affiliation":[{"name":"Central Finland Health Care District Hospital District, Kuopio, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Maranta","sequence":"additional","affiliation":[{"name":"Cardiac Rehabilitation Unit, San Raffaele Scientific Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Mazza","sequence":"additional","affiliation":[{"name":"Department of Cardiac Rehabilitation, ICS Maugeri Care and Research Institute, Via S. 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