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. 2024 May 16;26(Suppl 2):ii252-ii263.
doi: 10.1093/eurheartjsupp/suae030. eCollection 2024 Apr.

Cardio-oncology rehabilitation: are we ready?

Irma Bisceglia  1 , Elio Venturini  2 , Maria Laura Canale  3 , Marco Ambrosetti  4 , Carmine Riccio  5 , Francesco Giallauria  6 , Giuseppina Gallucci  7 , Maurizio G Abrignani  8 , Giulia Russo  9 , Chiara Lestuzzi  10 , Raffaella Mistrulli  11 , Giovanni De Luca  12 , Fabio Maria Turazza  13 , Gianfrancesco Mureddu  14 , Stefania Angela Di Fusco  15 , Fabiana Lucà  16 , Leonardo De Luca  17 , Andrea Camerini  18 , Geza Halasz  19 , Massimiliano Camilli  20   21 , Vincenzo Quagliariello  22 , Nicola Maurea  22 , Francesco Fattirolli  23 , Michele Massimo Gulizia  24 , Domenico Gabrielli  19   25 , Massimo Grimaldi  26 , Furio Colivicchi  15 , Fabrizio Oliva  27
Affiliations

Cardio-oncology rehabilitation: are we ready?

Irma Bisceglia et al. Eur Heart J Suppl. .

Abstract

Cardio-oncology rehabilitation (CORE) is not only an essential component of cancer rehabilitation but also a pillar of preventive cardio-oncology. Cardio-oncology rehabilitation is a comprehensive model based on a multitargeted approach and its efficacy has been widely documented; when compared with an 'exercise only' programme, comprehensive CORE demonstrates a better outcome. It involves nutritional counselling, psychological support, and cardiovascular (CV) risk assessment, and it is directed to a very demanding population with a heavy burden of CV diseases driven by physical inactivity, cancer therapy-induced metabolic derangements, and cancer therapy-related CV toxicities. Despite its usefulness, CORE is still underused in cancer patients and we are still at the dawning of remote models of rehabilitation (tele-rehabilitation). Not all CORE is created equally: a careful screening procedure to identify patients who will benefit the most from CORE and a multidisciplinary customized approach are mandatory to achieve a better outcome for cancer survivors throughout their cancer journey. The aim of this paper is to provide an updated review of CORE not only for cardiologists dealing with this peculiar population of patients but also for oncologists, primary care providers, patients, and caregivers. This multidisciplinary team should help cancer patients to maintain a healthy and active life before, during, and after cancer treatment, in order to improve quality of life and to fight health inequities.

Keywords: Cardiac rehabilitation; Cardio-oncology rehabilitation (CORE); Core components of CORE; Geriatric oncologic patients; Reverse cardio-oncology; Telehealth in rehabilitation.

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Conflict of interest statement

Conflict of interest: none declared.

Figures

Figure 1
Figure 1
Cardio-oncology rehabilitation operating flow chart.
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