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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The current COVID-19 pandemic is challenging heart failure &#40;HF&#41; care in many ways&#46; It is estimated that 380 000 people currently live with HF in Portugal and more than 35 000 HF hospitalizations take place in our healthcare system every year&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Stable HF patients on optimal drug therapy have an annual risk of being hospitalized of around 10-20&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> This risk can be reduced by 30&#37; if patients follow a cardiac rehabilitation &#40;CR&#41; program&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> as recommended by the European Society of Cardiology guidelines &#40;class I recommendation&#44; level of evidence A&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> However&#44; the participation of HF patients in CR programs was already disappointingly low&#44;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> and the delivery of this treatment will be further disrupted in the time of COVID-19&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">CR is a multidisciplinary intervention that includes several core components&#44; including patient assessment&#44; management and control of cardiovascular risk factors&#44; physical activity counseling and exercise training prescription&#44; dietary advice&#44; psychosocial management and vocational support&#46; Traditional center-based CR programs require the patient to travel to hospital facilities multiple times a week for several months to participate in group sessions&#44; which increases social contact and consequently the risk of SARS-CoV-2 infection&#46; In addition&#44; patients with cardiovascular disease are known to be at greater risk of contracting a severe form of COVID-19&#46; These new circumstances require the redesign of the CR delivery model&#44; and home-based CR programs could be a way to proceed&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Home-based CR programs consist of the same core components as center-based programs but delivered in a non-clinical setting&#44; such as the patient&#39;s home&#46; In fact&#44; most can be called hybrid programs&#44; because they include a number of sessions during the first weeks in which patients are assessed and monitored during exercise&#44; aiming to teach them how to self-monitor exercise intensity and recognize safety alert signals&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Home-based programs are as effective as center-based programs regarding improvements in quality of life&#44; functional capacity and HF hospitalizations&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Recognition of home-based CR as a cost-effective intervention has led to its incorporation into the healthcare systems of several countries&#44; including Australia&#44; Canada&#44; and the UK&#46; Interestingly&#44; the National Audit of Cardiac Rehabilitation Quality and Outcomes Report for 2019 by the British Heart Foundation reported that 10&#37; of patients who attend CR participate in a home-based CR program&#46; In countries like Portugal&#44; with low CR attendance&#44; home-based programs have the potential to expand the capacity of and access to the system&#44; increasing CR program delivery&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Safety is always a major concern in patients with cardiovascular disease undergoing CR programs&#46; A recent meta-analysis that included 31 randomized controlled trials with a total of 1791 HF participants reported that both home-based alone and hybrid CR were as safe as clinical-based CR&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> including for patients with cardiac implantable electronic devices&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Telemonitoring during training sessions can include varying degrees of technology-assisted assessment ranging from a simple format using only a logbook and structured telephone calls to the use of wearable sensors&#44; such as heart rate monitors&#44; accelerometers or pedometers&#44; or a high-tech approach such as remote ECG telemetry monitoring or synchronous videoconferencing&#46; Decisions on what approach to use and the degree of technological sophistication required depend on patient-related factors&#44; including cardiovascular risk&#44; digital skills and personal preferences&#44; and provider-related factors such as logistical conditions that include staff training and availability of technological equipment&#46; The use of videoconferencing technologies&#44; which enable patients to interact with the CR healthcare team &#40;and potentially with other patients&#41;&#44; currently appears to be a useful way to lessen the mental and physical consequences of social isolation imposed by the COVID-19 pandemic&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Regardless of the telemonitoring methods adopted&#44; there are several practical challenges posed by these remote CR programs&#46; Extrapolation of the existing evidence is not straightforward for Portuguese HF patients&#44; who may differ regarding health literacy&#44; access to digital technology&#44; personal preferences and attitudes regarding exercise&#46; In this regard&#44; we hope to be able to add new data from an ongoing pragmatic randomized trial&#44; EXercise InTervention in Heart Failure &#40;EXIT-HF&#41; &#40;Clinicaltrials&#46;gov NCT04334603&#41;&#46; In our experience&#44; the most common barriers are the lack of infrastructure to perform exercise at home&#44; low motivation to exercise&#44; and some safety concerns&#46; We aim to adjust the exercise training plan to patients&#8217; home physical conditions and help them to identify alternative spaces for aerobic training &#40;e&#46;g&#46; shopping malls or parks near their home&#41;&#59; we also encourage them to include physical activity in their daily routine&#46; To increase patients&#8217; motivation&#44; we make weekly telephone calls to review their training activities and give positive feedback&#44; always trying to engage patients&#8217; families&#46; Regarding safety concerns expressed by patients and families&#44; we use a hybrid approach&#44; with supervised sessions in our cardiac rehabilitation unit&#59; we start with a low-intensity exercise prescription in order to promote patients&#8217; confidence and adherence&#44; and then make weekly telephone calls and actively discuss exercise progression and any potential concerns&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The COVID-19 pandemic is challenging the delivery of CR programs to HF patients because we now have to consider the risk of SARS-CoV-2 infection&#46; In addition&#44; the pandemic is also testing the resilience of our healthcare system&#44; which will need to continue to respond to the high healthcare utilization burden of HF patients&#46; Implementing and scaling up home-based CR programs will improve patients&#8217; quality of life and reduce the number of HF hospitalizations&#46; In addition&#44; it will minimize the negative impact of social isolation and low exercise levels&#44; and function as an important communication framework between this high-risk group of patients and the healthcare system&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">This work was supported by a grant from FCT &#91;PTDC&#47;MEC-CAR&#47;30011&#47;2017&#93; and co-financed by the FEDER under the new Partnership Agreement PT2020 within the project POCI-01-0145-FEDER-030011&#46; CIAFEL and UnIC are supported by FCT under the scope of the project &#91;UID&#47;DTP&#47;00617&#47;2019&#93; and &#91;UID&#47;IC&#47;00051&#47;2019&#93; respectively&#46; C&#46;S&#46; was supported by an individual grant from CAPES &#91;BEX 0554&#47;14-6&#93;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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                      "autores" => array:1 [
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                          "autores" => array:3 [
                            0 => "M&#46;R&#46;A&#46; Gouveia"
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                            "web" => "Medline"
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              "identificador" => "bib0060"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "European Society of Cardiology Heart Failure Long-Term Registry &#40;ESC-HF-LT&#41;&#58; 1-year follow-up outcomes and differences across regions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46;G&#46; Crespo-Leiro"
                            1 => "S&#46;D&#46; Anker"
                            2 => "A&#46;P&#46; Maggioni"
                          ]
                        ]
                      ]
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                    0 => array:2 [
                      "doi" => "10.1002/ejhf.566"
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                        "tituloSerie" => "Eur J Heart Fail"
                        "fecha" => "2016"
                        "volumen" => "18"
                        "paginaInicial" => "613"
                        "paginaFinal" => "625"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27324686"
                            "web" => "Medline"
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                          "etal" => true
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                        "paginaInicial" => "691"
                        "paginaFinal" => "705"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31302050"
                            "web" => "Medline"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure&#58; The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology &#40;ESC&#41;&#46; Developed with the special contribution of the Heart Failure Association &#40;HFA&#41; of the ESC"
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                      ]
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                        "fecha" => "2016"
                        "volumen" => "37"
                        "paginaInicial" => "2129"
                        "paginaFinal" => "2200"
                        "link" => array:1 [
                          0 => array:2 [
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                0 => array:2 [
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                        0 => array:2 [
                          "etal" => true
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                      ]
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                        "link" => array:1 [
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Home-based cardiac rehabilitation for people with heart failure&#58; a systematic review and meta-analysis"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
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                            2 => "S&#46;G&#46; Dean"
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                        ]
                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.ijcard.2016.06.207"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Cardiol"
                        "fecha" => "2016"
                        "volumen" => "221"
                        "paginaInicial" => "963"
                        "paginaFinal" => "969"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27441476"
                            "web" => "Medline"
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                ]
              ]
            ]
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              "identificador" => "bib0090"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Home-based cardiac rehabilitation alone and hybrid with center-based cardiac rehabilitation in heart failure&#58; a systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "H&#46;M&#46; Imran"
                            1 => "M&#46; Baig"
                            2 => "S&#46; Erqou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/JAHA.119.012779"
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                        "tituloSerie" => "J Am Heart Assoc"
                        "fecha" => "2019"
                        "volumen" => "8"
                        "paginaInicial" => "e012779"
                        "link" => array:1 [
                          0 => array:2 [
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                            "web" => "Medline"
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                      "titulo" => "Home-based telemonitored Nordic walking training is well accepted&#44; safe&#44; effective and has high adherence among heart failure patients&#44; including those with cardiovascular implantable electronic devices&#58; a randomised controlled study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46; Piotrowicz"
                            1 => "T&#46; Zielinski"
                            2 => "R&#46; Bodalski"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1177/2047487314551537"
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                        "tituloSerie" => "Eur J Prev Cardiol"
                        "fecha" => "2015"
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                        "paginaFinal" => "1377"
                        "link" => array:1 [
                          0 => array:2 [
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                ]
              ]
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                      "titulo" => "Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure&#58; a randomised trial"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
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                            2 => "N&#46;R&#46; Morris"
                          ]
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                      ]
                    ]
                  ]
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Editorial note
Cardiac rehabilitation programs for heart failure patients in the time of COVID-19
Programas de reabilitação cardíaca para doentes com insuficiência cardíaca durante o período do COVID-19
Cristine Schmidta,b, Sandra Magalhãesc, Ana Barreirad, Fernando Ribeiroe, Preza Fernandesd, Mário Santosd,f,
Corresponding author
mariossantos001@gmail.com

Corresponding author.
a Unidade de Investigação Cardiovascular, Departamento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
b Centro de Investigação em Atividade Física Saúde e Lazer, Faculdade de Desporto da Universidade do Porto, Porto, Portugal
c Serviço de Fisiatria, Hospital Santo António, Centro Hospitalar Universitário do Porto, Porto, Portugal
d Serviço de Cardiologia, Hospital Santo António, Centro Hospitalar Universitário do Porto, Porto, Portugal
e Instituto de Biomedicina, Escola Superior de Saúde, Universidade de Aveiro, Aveiro, Portugal
f Unidade Multidisciplinar de Investigação Biomédica, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The current COVID-19 pandemic is challenging heart failure &#40;HF&#41; care in many ways&#46; It is estimated that 380 000 people currently live with HF in Portugal and more than 35 000 HF hospitalizations take place in our healthcare system every year&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Stable HF patients on optimal drug therapy have an annual risk of being hospitalized of around 10-20&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> This risk can be reduced by 30&#37; if patients follow a cardiac rehabilitation &#40;CR&#41; program&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> as recommended by the European Society of Cardiology guidelines &#40;class I recommendation&#44; level of evidence A&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a> However&#44; the participation of HF patients in CR programs was already disappointingly low&#44;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> and the delivery of this treatment will be further disrupted in the time of COVID-19&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">CR is a multidisciplinary intervention that includes several core components&#44; including patient assessment&#44; management and control of cardiovascular risk factors&#44; physical activity counseling and exercise training prescription&#44; dietary advice&#44; psychosocial management and vocational support&#46; Traditional center-based CR programs require the patient to travel to hospital facilities multiple times a week for several months to participate in group sessions&#44; which increases social contact and consequently the risk of SARS-CoV-2 infection&#46; In addition&#44; patients with cardiovascular disease are known to be at greater risk of contracting a severe form of COVID-19&#46; These new circumstances require the redesign of the CR delivery model&#44; and home-based CR programs could be a way to proceed&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Home-based CR programs consist of the same core components as center-based programs but delivered in a non-clinical setting&#44; such as the patient&#39;s home&#46; In fact&#44; most can be called hybrid programs&#44; because they include a number of sessions during the first weeks in which patients are assessed and monitored during exercise&#44; aiming to teach them how to self-monitor exercise intensity and recognize safety alert signals&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Home-based programs are as effective as center-based programs regarding improvements in quality of life&#44; functional capacity and HF hospitalizations&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Recognition of home-based CR as a cost-effective intervention has led to its incorporation into the healthcare systems of several countries&#44; including Australia&#44; Canada&#44; and the UK&#46; Interestingly&#44; the National Audit of Cardiac Rehabilitation Quality and Outcomes Report for 2019 by the British Heart Foundation reported that 10&#37; of patients who attend CR participate in a home-based CR program&#46; In countries like Portugal&#44; with low CR attendance&#44; home-based programs have the potential to expand the capacity of and access to the system&#44; increasing CR program delivery&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Safety is always a major concern in patients with cardiovascular disease undergoing CR programs&#46; A recent meta-analysis that included 31 randomized controlled trials with a total of 1791 HF participants reported that both home-based alone and hybrid CR were as safe as clinical-based CR&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> including for patients with cardiac implantable electronic devices&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Telemonitoring during training sessions can include varying degrees of technology-assisted assessment ranging from a simple format using only a logbook and structured telephone calls to the use of wearable sensors&#44; such as heart rate monitors&#44; accelerometers or pedometers&#44; or a high-tech approach such as remote ECG telemetry monitoring or synchronous videoconferencing&#46; Decisions on what approach to use and the degree of technological sophistication required depend on patient-related factors&#44; including cardiovascular risk&#44; digital skills and personal preferences&#44; and provider-related factors such as logistical conditions that include staff training and availability of technological equipment&#46; The use of videoconferencing technologies&#44; which enable patients to interact with the CR healthcare team &#40;and potentially with other patients&#41;&#44; currently appears to be a useful way to lessen the mental and physical consequences of social isolation imposed by the COVID-19 pandemic&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Regardless of the telemonitoring methods adopted&#44; there are several practical challenges posed by these remote CR programs&#46; Extrapolation of the existing evidence is not straightforward for Portuguese HF patients&#44; who may differ regarding health literacy&#44; access to digital technology&#44; personal preferences and attitudes regarding exercise&#46; In this regard&#44; we hope to be able to add new data from an ongoing pragmatic randomized trial&#44; EXercise InTervention in Heart Failure &#40;EXIT-HF&#41; &#40;Clinicaltrials&#46;gov NCT04334603&#41;&#46; In our experience&#44; the most common barriers are the lack of infrastructure to perform exercise at home&#44; low motivation to exercise&#44; and some safety concerns&#46; We aim to adjust the exercise training plan to patients&#8217; home physical conditions and help them to identify alternative spaces for aerobic training &#40;e&#46;g&#46; shopping malls or parks near their home&#41;&#59; we also encourage them to include physical activity in their daily routine&#46; To increase patients&#8217; motivation&#44; we make weekly telephone calls to review their training activities and give positive feedback&#44; always trying to engage patients&#8217; families&#46; Regarding safety concerns expressed by patients and families&#44; we use a hybrid approach&#44; with supervised sessions in our cardiac rehabilitation unit&#59; we start with a low-intensity exercise prescription in order to promote patients&#8217; confidence and adherence&#44; and then make weekly telephone calls and actively discuss exercise progression and any potential concerns&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">The COVID-19 pandemic is challenging the delivery of CR programs to HF patients because we now have to consider the risk of SARS-CoV-2 infection&#46; In addition&#44; the pandemic is also testing the resilience of our healthcare system&#44; which will need to continue to respond to the high healthcare utilization burden of HF patients&#46; Implementing and scaling up home-based CR programs will improve patients&#8217; quality of life and reduce the number of HF hospitalizations&#46; In addition&#44; it will minimize the negative impact of social isolation and low exercise levels&#44; and function as an important communication framework between this high-risk group of patients and the healthcare system&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">This work was supported by a grant from FCT &#91;PTDC&#47;MEC-CAR&#47;30011&#47;2017&#93; and co-financed by the FEDER under the new Partnership Agreement PT2020 within the project POCI-01-0145-FEDER-030011&#46; CIAFEL and UnIC are supported by FCT under the scope of the project &#91;UID&#47;DTP&#47;00617&#47;2019&#93; and &#91;UID&#47;IC&#47;00051&#47;2019&#93; respectively&#46; C&#46;S&#46; was supported by an individual grant from CAPES &#91;BEX 0554&#47;14-6&#93;&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2016"
                        "volumen" => "37"
                        "paginaInicial" => "2129"
                        "paginaFinal" => "2200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27206819"
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              ]
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                    0 => array:2 [
                      "titulo" => "For the improvement of heart failure treatment in Portugal &#8211; consensus statement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:4 [
                            0 => "Posicao de peritos subscrita pelo Grupo de Estudos de Insuficiencia Cardiaca da Sociedade Portuguesa de C&#44; Nucleo de Estudos de Insuficiencia Cardiaca da Sociedade Portuguesa de Medicina I&#44; Colegio da Especialidade de Medicina Geral e Familiar da Ordem dos M&#44; Nucleo de Estudos de Doencas Cardiovasculares em Medicina Geral e Familiar e Nucleo de Enfermagem em Cardiologia da Sociedade Portuguesa de Cardiologia &#40;Anexo 1&#41;"
                            1 => "C&#46; Fonseca"
                            2 => "D&#46; Brito"
                            3 => "R&#46; Cernadas"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.repc.2017.09.012"
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                        "tituloSerie" => "Rev Port Cardiol"
                        "fecha" => "2017"
                        "volumen" => "36"
                        "paginaInicial" => "1"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
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                ]
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                    0 => array:2 [
                      "titulo" => "Home-based cardiac rehabilitation&#58; a scientific statement from the American Association of Cardiovascular and Pulmonary Rehabilitation&#44; the American Heart Association&#44; and the American College of Cardiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
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                            1 => "A&#46;L&#46; Beatty"
                            2 => "T&#46;M&#46; Beckie"
                          ]
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                      ]
                    ]
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                        "tituloSerie" => "Circulation"
                        "fecha" => "2019"
                        "volumen" => "140"
                        "paginaInicial" => "e69"
                        "paginaFinal" => "e89"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31082266"
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                0 => array:2 [
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                    0 => array:2 [
                      "doi" => "10.1016/j.ijcard.2016.06.207"
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                        "tituloSerie" => "Int J Cardiol"
                        "fecha" => "2016"
                        "volumen" => "221"
                        "paginaInicial" => "963"
                        "paginaFinal" => "969"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27441476"
                            "web" => "Medline"
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              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Home-based cardiac rehabilitation alone and hybrid with center-based cardiac rehabilitation in heart failure&#58; a systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "H&#46;M&#46; Imran"
                            1 => "M&#46; Baig"
                            2 => "S&#46; Erqou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/JAHA.119.012779"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Heart Assoc"
                        "fecha" => "2019"
                        "volumen" => "8"
                        "paginaInicial" => "e012779"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31423874"
                            "web" => "Medline"
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                ]
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              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Home-based telemonitored Nordic walking training is well accepted&#44; safe&#44; effective and has high adherence among heart failure patients&#44; including those with cardiovascular implantable electronic devices&#58; a randomised controlled study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46; Piotrowicz"
                            1 => "T&#46; Zielinski"
                            2 => "R&#46; Bodalski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/2047487314551537"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Prev Cardiol"
                        "fecha" => "2015"
                        "volumen" => "22"
                        "paginaInicial" => "1368"
                        "paginaFinal" => "1377"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25261268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure&#58; a randomised trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Hwang"
                            1 => "J&#46; Bruning"
                            2 => "N&#46;R&#46; Morris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jphys.2017.02.017"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Physiother"
                        "fecha" => "2017"
                        "volumen" => "63"
                        "paginaInicial" => "101"
                        "paginaFinal" => "107"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28336297"
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Revista Portuguesa de Cardiologia (English edition)
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