Contemporary strategies in cardiac rehabilitation: a review of the 2026 ESC guidelines based on the ESC Congress 2026

Zavhorodnia O.L.

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Contemporary strategies in cardiac rehabilitation: a review of the 2026 ESC guidelines based on the ESC Congress 2026

October 29, 2026

Zavhorodnia O.L.

УДК: УДК 616.12-08-039.73

DOI: 10.32471/umj.1680-3051.281999

Keywords :

2026 ESC Guidelines,

cardiac rehabilitation,

cardiac telerehabilitation,

cardiovascular diseases,

exercise training,

patient-centred care

Resume

This review article examines the new clinical guidelines of the European Society of Cardiology (2026 ESC Guidelines on Cardiac Rehabilitation), which, for the first time in the Society’s history, have been issued as a standalone comprehensive document. The article systematizes updated indications and levels of evidence for a broad spectrum of conditions, including heart failure, atrial fibrillation, and cardio-oncology, and provides a detailed analysis of tailored approaches to prescribing aerobic and resistance exercise based on individual ventilatory thresholds. Particular attention is paid to the implementation of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs), shared decision-making, and strategies for overcoming socioeconomic and gender-related barriers, illustrated by a clinical case study. The article also explores the integration of digital technologies into cardiac rehabilitation, including telemedicine, mobile applications, and artificial intelligence, highlighting their potential to guide the modernization of contemporary cardiovascular care.

References

1. Bäck M., Wilhelm M., Marcin T. et al. (2026) 2026 ESC guidelines on cardiac rehabilitation: developed by the task force on cardiac rehabilitation of the European Society of Cardiology (ESC). Endorsed by the European Society of Physical and Rehabilitation Medicine (ESPRM) and World Organization of Family Doctors (WONCA). Eur. Heart J., 47(39): 5631–5729. DOI: 10.1093/eurheartj/ehag099.
2. Bäck M., Wilhelm M., Hansen D. (2026) 2026 ESC guidelines on cardiac rehabilitation — key messages. ESC Congress 2026, Munich, Germany.
3. Fitzsimons D. (2026). Person-centred cardiac rehabilitation in practice: case presentations. ESC Congress 2026, Munich, Germany.
4. Machado F.V. (2026) Integrating and individualising cardiac rehabilitation core components: case presentation. ESC Congress 2026, Munich, Germany.
5. Kotseva K., Wood D., De Bacquer D. (2018) Determinants of participation and risk factor control according to attendance in cardiac rehabilitation programmes in coronary patients in Europe: EUROASPIRE IV survey. Eur. J. Prev. Cardiol., 25(12): 1242–1251. DOI: 10.1177/2047487318781359.
6. World Health Organization (2026) Rehabilitation 2030 initiative. World Health Organization. URL: http://www.who.int/initiatives/rehabilitation-2030.
7. Masip J. (2026) Updated indications for cardiac rehabilitation. ESC Congress 2026, Munich, Germany.
8. Molloy C., Long L., Mordi I.R. et al. (2024) Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database Syst. Rev., 3: CD003331. DOI: 10.1002/14651858.CD003331.pub6.
9. Dibben G., de Vries F.B.G., Faulkner J. et al. (2026) Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst. Rev., 9: CD001800. DOI: 10.1002/14651858.CD001800.pub5.
10. Veltrop R.J. (2026) Patient voice, shared decision-making, and PROMs. ESC Congress 2026, Munich, Germany.
11. Locati E.T. (2026) Digital technologies and modes of cardiac rehabilitation delivery. ESC Congress 2026, Munich, Germany.