Author + information
- Christopher O'Connor, MD, FACC, Editor-in-Chief, JACC: Heart Failure∗ ()
- ↵∗Address for correspondence
: Christopher O'Connor, MD, FACC, JACC: Heart Failure, 3655 Nobel Drive, Suite 630, San Diego, California 92122
1. an important reduction in time to first heart failure hospitalization.
2. an improvement in quality of life as determined by KCCQ questionnaire;
3. a reduction in depressive symptoms;
4. an improvement in New York Heart Association Class.; and
5. improvement in physical fitness determined by peak VO2 and other measures.
Perhaps most pertinent to cardiac rehabilitation for heart failure patients was a paper by the HF-ACTION authors published in JACC in 2012 (1) which described the relationship between volume of exercise and clinical outcomes, indicating a dose-response relationship, such that moderate exercise volume was associated with a 30% reduction in clinical events.
Over the next 6 months CMS will complete their review to determine if there is enough evidence to add the diagnosis of chronic heart failure to the list of approved indications for coverage for cardiac rehabilitation. As heart failure clinicians, let's hope that CMS leaders ‘exercise’ a good decision for our patients.
- American College of Cardiology Foundation