Evidence mapPaperPMID 40656789Full record

ReviewCardiovascular diagnosis and therapy2025

Cardiological rehabilitation, prehabilitation, and cardiovascular prevention in adults with congenital heart defects: tasks and services of the German Pension Insurance-part 1: preventive cardiology and prehabilitation.

Juliane Barth, Oliver Dewald, Peter Ewert, Annika Freiberger, Sebastian Freilinger, Tobias Gampert, Frank Harig, Jürgen Hörer, Stefan Holdenrieder, Michael Huntgeburth and 12 more

Erratum issuedAbstract readReview
In one paragraph

Review in Cardiovascular diagnosis and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors.

Juliane Barth *Department of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID https://orcid.org/0009-0007-6464-6379
Oliver Dewald *Department of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Peter EwertDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Annika FreibergerDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Sebastian FreilingerDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Tobias GampertClinic Roderbirken, Rehabilitation Clinic for Cardiovascular Diseases, Leichlingen, Germany.
Frank HarigDepartment of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Jürgen HörerDepartment of Congenital Heart Defect Surgery and Paediatric Cardiac Surgery, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Stefan HoldenriederInstitute of Laboratory Medicine, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Michael HuntgeburthDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Ann-Sophie Kaemmerer-SuleimanDepartment of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Niko KohlsFaculty of Applied Natural Sciences and Health, University of Applied Sciences and Arts Coburg, Coburg, Germany.
Nicole NagdymanDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Rhoia NeidenbachDepartment of Sports Medicine, Exercise Physiology and Prevention, Institute of Sport Science, University of Vienna, Vienna, Austria.
Wolfgang SchmiedebergDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Mathieu N SuleimanDepartment of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Fabian von ScheidtDepartment of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Detlef KochGerman Pension Insurance Rhineland, Düsseldorf, Germany.
Wolfgang WagenerGerman Pension Insurance Rhineland, Düsseldorf, Germany.
Dirk Mentzner *German Pension Insurance Rhineland, Düsseldorf, Germany.
Harald Kaemmerer *Department of Congenital Heart Disease and Pediatric Cardiology, German Heart Centre Munich, TUM University Hospital, Munich, Germany.
Fritz Mellert *Department of Cardiac Surgery, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congenital heart defects (CHD) are the most common inborn cardiac anomalies, with approximately 1.35 million children born each year worldwide. Advances in medical treatment over recent decades have reduced mortality, yet morbidity remains high. Many patients now survive into adulthood but continue to have chronic heart disease and often develop complications such as heart failure, arrhythmias, pulmonary hypertension, and acquired cardiac and non-cardiac comorbidities, all of which require ongoing specialized care. Additionally, many adults with CHD (ACHD) lead a sedentary lifestyle, are overweight, and experience mental health issues, further affecting their well-being and quality of life. In this context, preventive, prehabilitative, and rehabilitative measures play an important role in reducing cardiovascular risks and enhancing overall quality of life. Preventive strategies aim to improve physical fitness, address health risks early, and support long-term well-being. Prehabilitation involves a structured, multimodal approach designed to strengthen physical and psychological resilience before planned medical interventions, thereby reducing complications and recovery times. Rehabilitation, on the other hand, facilitates recovery after treatment and promotes sustained health improvements over time. The German Pension Insurance provides programs aimed at enhancing physical fitness, promoting mental well-being, and improving quality of life, with a focus on maintaining employability and supporting occupational reintegration. However, available offerings are often not tailored to the specific needs of the heterogenous group of ACHD, limiting their potential effectiveness. The present article highlights the importance of cardiological prevention and prehabilitation in ACHD, focusing on the role of the German Pension Insurance system in helping affected adults remain employed and improve their quality of life. It explores how services can be better adapted to their needs and suggests that tailored programs, interdisciplinary collaboration, and ongoing research are essential for improving long-term outcomes in ACHD.

Indexed as

congenital heart defects (CHD)German Pension InsuranceprehabilitationPreventive cardiology

Identifiers

PMID40656789
PMCPMC12246989

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.