Prospects for modern cardiac rehabilitation: synergy of perspectives among Healthcare professionals and specialists
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2026.3.16647Keywords:
cardiac rehabilitation, cardiovascular diseases, multidisciplinary approach, telerehabilitation, quality of lifeAbstract
In the context of a full-fledge war in Ukrainian, the local healthcare system is operating under significant strain, especially in the sphere of rehabilitation services. This situation creates a demand for new approaches to cardiac rehabilitation reflected in the new version of the Law of Ukraine "On Rehabilitation in the Healthcare" (2020). The modern concept of cardiac rehabilitation presumes the transition from short-term post-acute cardiovascular programs to a continuous model of lifelong cardiovascular health management. According to the World Heart Federation Roadmap recommendations (2026), key components of effective cardiac rehabilitation are considered to be a multidisciplinary approach, consisting of timely referral of patients, comprehensive clinical assessment, management of cardiovascular risk factors, psychosocial support, continuous monitoring of treatment outcomes, and implementation of modern healthcare models, including telerehabilitation and digital health techniques. The implementation of the above scenarios may improve access to rehabilitation services, increase patients` functional capabilities and life quality, and reduce the risk of recurrent cardiovascular events. The objective of the study was to analyze a dataset of contemporary approaches to cardiac rehabilitation and to assess the feasibility of their planting in the wartime Ukrainian healthcare system.
References
1. On Rehabilitation in Health Care: Law of Ukraine No. 1053-IX of Dec 3, 2020. Vidomosti Verkhovnoi Rady Ukrainy. 2021;(8):59. Ukrainian.
2. National Health Service of Ukraine with the support of USAID presented the "Rehabilitation in Ukraine" project to the Agency. Ukr Med Chasopys [Internet]. 2024 Jul 19 [cited 2026 Jul 31]. Available from: https://umj.com.ua/uk/novyna-255997-nszu-za-pidtrimki-usaid-predstavila-agentstvu-proyekt-reabilitatsiya-v-ukrayin. Ukrainian.
3. Tessler J, Ahmed I, Bordoni B. Cardiac rehabilitation. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 [cited 2026 Jul 31]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537196/.
4. Bralewska B, Wykrota J, Kurpesa M, Kasprzak JD, Cieślik-Guerra U, Wądołowska E, et al. Cardiac telerehabilitation after acute coronary syndrome ensures similar improvement in exercise capacity as inpatient rehabilitation, regardless of the age profile of the compared groups. J Clin Med. 2025;14(9):3143. DOI: 10.3390/jcm14093143. DOI: https://doi.org/10.3390/jcm14093143
5. Redfern J, Thomas RJ, Smith SC Jr, Grace SL, Astin F, Babu AS, et al. World Heart Federation Roadmap on cardiac rehabilitation: a pathway to lifelong cardiovascular health. Nat Rev Cardiol. 2026 Jul 13. DOI: 10.1038/s41569-026-01312-9. DOI: https://doi.org/10.1038/s41569-026-01312-9
6. McEvoy JW, McCarthy CP, Bruno RM, Brouwers S, Canavan MD, Ceconi C, et al. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: developed by the Task Force on the Management of Elevated Blood Pressure and Hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO). Eur Heart J. 2024;45(38):3912-4018. DOI: 10.1093/eurheartj/ehae178. DOI: https://doi.org/10.1093/eurheartj/ehae178
7. Writing Committee Members, Jones DW, Ferdinand KC, Taler SJ, Johnson HM, Shimbo D, et al. 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Hypertension. 2025;82:e212-e316. DOI: 10.1161/HYP.0000000000000249. DOI: https://doi.org/10.1161/HYP.0000000000000249
8. Lincoff AM, Brown-Frandsen K, Colhoun HM, Deanfield J, Emerson SS, Esbjerg S, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389(24):2221-32. DOI: 10.1056/NEJMoa2307563. DOI: https://doi.org/10.1056/NEJMoa2307563
9. Marso SP, Bain SC, Consoli A, Eliaschewitz FG, Jódar E, Leiter LA, et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2016;375(19):1834-44. DOI: 10.1056/NEJMoa1607141. DOI: https://doi.org/10.1056/NEJMoa1607141
10. Royal Australian College of General Practitioners, Diabetes Australia. Management of type 2 diabetes: a handbook for general practice [Internet]. East Melbourne (VIC): RACGP; 2025 [cited 2026 Feb 3]. Available from: https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/management-of-type-2-diabetes/introduction.
11. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-79. DOI: 10.2337/dc16-1728. DOI: https://doi.org/10.2337/dc16-1728
12. Buckley JP, Riddell M, Mellor D, Bracken RM, Ross MKT, LaGerche A, et al. Acute glycaemic management before, during and after exercise for cardiac rehabilitation participants with diabetes mellitus: a joint statement of the British and Canadian Associations of Cardiovascular Prevention and Rehabilitation, the International Council for Cardiovascular Prevention and Rehabilitation and the British Association of Sport and Exercise Sciences. Br J Sports Med. 2021;55(13):709-20. DOI: 10.1136/bjsports-2020-102446. DOI: https://doi.org/10.1136/bjsports-2020-102446
13. Candelaria D, Redfern J, Zecchin R, Brown R, Freene N, Fukumori S, et al. 2026 update of the core components of cardiovascular rehabilitation: a position statement from the Australian Cardiovascular Health and Rehabilitation Association (ACRA). Heart Lung Circ. 2026. DOI: 10.1016/j.hlc.2026.05.008. DOI: https://doi.org/10.1016/j.hlc.2026.07.953
14. DeMers D, Wachs D. Physiology, mean arterial pressure. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 [updated 2023 Apr 10; cited 2026 Jul 31]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538226/.
15. Babu AS, Grace SL, Arena R, Karmali KN, et al. Cardiac rehabilitation for hypertension assessment and control: report from the International Council of Cardiovascular Prevention and Rehabilitation. J Clin Hypertens (Greenwich). 2015;17(11):831-36. DOI: 10.1111/jch.12663. DOI: https://doi.org/10.1111/jch.12663
16. Odrovicsné-Tóth A, Vágvölgyi A, Bódis J, Boncz I, Sebestyén A, Németh A, et al. The patient's physiological status at the start determines the success of the inpatient cardiovascular rehabilitation program. J Clin Med. 2023;12(5):1735. DOI: 10.3390/jcm12051735. DOI: https://doi.org/10.3390/jcm12051735
17. Candelaria D, Redfern J, Grace SL, Astin F, Babu AS, Baigent C, et al. Implementation and strategies to support adoption of the World Heart Federation Roadmap on cardiac rehabilitation: a pathway to improve lifelong cardiovascular health. Glob Heart. 2026;21(1):54. DOI: 10.5334/gh.1563. DOI: https://doi.org/10.5334/gh.1563
18. Rechciński T, Bralewska B, Rechcińska A. Cardiac rehabilitation in 2026: bridging guideline mandates, patient realities and emerging innovations. J Clin Med. 2026;15(4):1362. DOI: 10.3390/jcm15041362. DOI: https://doi.org/10.3390/jcm15041362
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Copyright (c) 2026 Vadym Zhebel, Maryna Matokhniuk, Iuliia Pashkova, Liudmyla Sursaieva, Olha Starzhynska, Irina Palii, Svitlana Franchuk, Olena Sakovych
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