Exercise training in chronic heart failure
- 7 March 2013
- journal article
- Published by SAGE Publications in Therapeutic Advances in Chronic Disease
- Vol. 4 (3), 105-117
- https://doi.org/10.1177/2040622313480382
Abstract
The syndrome of heart failure (HF) is a growing epidemic that causes a significant socio-economic burden. Despite considerable progress in the management of patients with HF, mortality and morbidity remain a major healthcare concern and frequent hospital admissions jeopardize daily life and social activities. Exercise training is an important adjunct nonpharmacological treatment modality for patients with HF that has proven positive effects on mortality, morbidity, exercise capacity and quality of life. Different training modalities are available to target the problems with which HF patients are faced. It is essential to tailor the prescribed exercise regimen, so that both efficiency and safety are guaranteed. Electrical implanted devices and mechanical support should not exclude patients from exercise training; however, particular precautions and a specialized approach are advised. At least 50% of patients with HF, older than 65 years of age, present with HF with preserved ejection fraction (HFPEF). Although the study populations included in studies evaluating the effect of exercise training in this population are small, the results are promising and seem to support the idea that exercise training is beneficial for HFPEF patients. Both the short- and especially long-term adherence to exercise training remain a major challenge that can only be tackled by a multidisciplinary approach. Efforts should be directed towards closing the gap between recommendations and the actual implementation of training programmes.This publication has 92 references indexed in Scilit:
- Determinants of Exercise Intolerance in Elderly Heart Failure Patients With Preserved Ejection FractionJournal of the American College of Cardiology, 2011
- Global Cardiovascular Reserve Dysfunction in Heart Failure With Preserved Ejection FractionJournal of the American College of Cardiology, 2010
- Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory SurveyEuropean Journal of Preventive Cardiology, 2010
- Clinician’s Guide to Cardiopulmonary Exercise Testing in AdultsCirculation, 2010
- Predicting Cardiac Rehabilitation Attendance in a Gender-Tailored Randomized Clinical TrialJournal of Cardiopulmonary Rehabilitation and Prevention, 2010
- Six-Minute Walk Test and Cardiopulmonary Exercise Testing in Patients With Chronic Heart FailureCirculation: Heart Failure, 2009
- Safety of symptom-limited cardiopulmonary exercise testing in patients with chronic heart failure due to severe left ventricular systolic dysfunctionAmerican Heart Journal, 2009
- Effects of Exercise Training on Health Status in Patients With Chronic Heart FailureJAMA, 2009
- Efficacy and Safety of Exercise Training in Patients With Chronic Heart FailureJAMA, 2009
- Clinical epidemiology of heart failureHeart, 2007