Congenital heart diseaseCross-sectional study

Cardiac rehabilitation in adults with congenital heart disease: care situation, barriers, and patient-reported outcomes

Eur J Prev CardiolPublished

  • Cross-sectional study
  • pragmatic
  • survey
  • single outpatient clinic

Authors' conclusion

Despite high expectations, the utilization of CR among ACHD remains low.

Study context

Population
Adults with congenital heart disease (ACHD) at routine outpatient follow-up, January–November 2025345 analysed
Participants
402 adults

Main finding

As reported in the abstract

Knowledge, information sources, barriers and expectations regarding CR
Actively searched for information about cardiac rehabilitation (CR)
24.2%
Preferred information during personal physician consultations
86.3%
Knew ACHD-specific CR programmes
32.8%
Knew how to apply for CR
31.5%
Already participated in rehabilitation programmes
34.4%
Family obligations prevented participation
9.8%
Psychological barriers reported
14.6%
Expected physical improvement
More than 90%
Expected psychological stabilization
61.2%

Observational data: associations, not effects.

Further findings

Age- and sex-specific differences

Self-rated general health decreased significantly with increasing age
Family obligations significantly more common among women
Women significantly more often rated psychological support as very important
Older participants participated more frequently but reported more frequent application rejections

Original publication

Cardiac rehabilitation in adults with congenital heart disease: care situation, barriers, and patient-reported outcomes. Eur J Prev Cardiol. Published 11 August 2026. doi:10.1093/eurjpc/zwag391

Summarised from the published abstract; every number is checked against it