心脏肿瘤康复（CORE）不仅是癌症康复的重要组成部分，也是预防性心脏肿瘤学的支柱。心脏肿瘤康复是一种基于多目标方法的综合模型，其功效已被广泛记录；与“仅锻炼”计划相比，全面的核心课程显示出更好的结果。它涉及营养咨询、心理支持和心血管（CV）风险评估，针对要求非常高的人群，这些人群因缺乏身体活动、癌症治疗引起的代谢紊乱以及癌症治疗相关的心血管疾病而承受着沉重的心血管疾病负担毒性。尽管 CORE 很有用，但它在癌症患者中仍未得到充分利用，而且我们仍处于远程康复模式（远程康复）的初期阶段。并非所有 CORE 都是平等创建的：必须进行仔细的筛查程序来确定从 CORE 中受益最多的患者，并采用多学科定制方法，以便为癌症幸存者在整个癌症旅程中取得更好的结果。本文的目的是不仅为处理这一特殊患者群体的心脏病专家，而且为肿瘤学家、初级保健提供者、患者和护理人员提供 CORE 的最新综述。这个多学科团队应该帮助癌症患者在癌症治疗之前、期间和之后保持健康和积极的生活，以提高生活质量并对抗健康不平等。© 作者 2024。由牛津大学出版社出版代表欧洲心脏病学会。

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.© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.