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Physical training and rehabilitation of patients with heart failure


Authors: L. Špinarová
Authors‘ workplace: I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně
Published in: Kardiol Rev Int Med 2016, 18(1): 31-34
Category: Cardiology Review

Overview

We describe the history, indication and methods of physical training in patients with heart failure. Physical training does not negatively influence haemodynamic or echocardiographic parameters; on the contrary, it improves the patients’ functional capacity, quality of life and neurohumoral response. A meta-analysis of patients with regular rehabilitation and a HF-ACTION multicentric clinical trial confirmed a positive influence of training on the prognosis. The adherence of the patients is probably the strongest limitation.

Keywords:
chronic heart failure –  physical training –  functional capability –  adherence


Sources

1. Burch GE, Walsh JJ, Black WC et al. Value of prolonged bed rest in management of cardiomyopathy. JAMA 1963; 183: 71– 87.

2. Burch GE, Mc Donald CD. Prolonged bed rest in the treatment of ischemic cardiomyopathy. Chest 1971; 60: 424– 430.

3. Lee AP, Ice R, Bles­sey R et al. Long term ef­fects of physical train­ing on coronary patients with impaired LV function. Circulation 1979; 60: 1519– 1526.

4. Coats AJ, Adamopoulos S, Radael­li A et al. Control­led trial of physical train­ing in chronic heart failure: exercise performance, hemodynamics, ventilation and autonomic function. Circulation 1992; 85: 2119– 2131.

5. Meyer K, Schwaibold M, Westbrook S et al. Ef­fect of short term exercise train­ing and activity restriction on functional capacity in patients with severe chronic congestive heart failure. Am J Cardiol 1996; 78: 1017– 1022.

6. Coats AJ. Optimiz­ing exercise train­ing for subgroups of patients with chronic heart failure. Eur Heart J 1998; 19 (Suppl O): O29– O34.

7. Chaloupka V, Siegelová J, Špinarová L et al. Rehabilitace u nemocných s kardiovaskulárním onemocněním. Cor Vasa 2006; 48: 127– 146.

8. Perk J, De Backer G, Gohlke H et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice Authors/ Task Force Members. Eur Heart J 2012; 33: 1635– 1701. doi: 10.1093/ eurheartj/ ehs092.

9. Tyni-Len­né R, Gordon A, Sylvén C. Improved quality of life in chronic heart failure patients fol­low­ing local endurance train­ing with leg muscle. J Card Fail 1996; 111– 117.

10. Adamopoulos S, Ponikowski P, Cerquetani E et al. Circadian pattern of heart rate variability in chronic heart failure patients. Eur Heart J 1995; 16: 1380– 1386.

11. Špinarová L, Toman J, Kára T et al. Tělesný trénink u pa­cientů s chronickým srdečním selháním: hermodynamika, půdovky. Vnitr Lek 2001; 47: 67– 73.

12. Gian­nuzzi PG, Temporel­li PL, Cor­ra U et al. Attenuation of unfavorable remodel­ing by exercise train­ing in postinfarction patients with left ventricular dysfunction. Results of the Exercise in Left Ventricular Dysfunction (ELVD) Trial. Circulation 1997; 96: 1790– 1797.

13. Toman J, Špinarová L, Kára T et al. Tělesný trénink u nemocných s chronickým srdečním selháním: funkční zdatnost a úloha periferie. Vnitr Lek 2001; 47: 74– 80.

14. Piepoli M, Volter­rani M, Clark ML et al. Contribution of muscle af­ferents to the hemodynamic, autonomic and ventilatory responses in patients with chronic heart silure: ef­fects of physical training. Circulation 1996; 93: 940– 952.

15. Opasich C, Ambrosino N, Felicetti G et al. Heart failure related myopathy. Clinical and pathophysiological insights. Eur Heart J 1999; 20: 1191– 1200.

16. Keteyian SJ. Exercise in the management of patients with chronic heart failure. Curr Heart Fail Rep 2010; 7: 35– 41. doi: 10.1007/ s11897-010-0002-z.

17. Špinar J, Vítovec J, Hradec J et al. Doporučený postup pro dia­gnostiku a léčbu chronického srdečního selhání České kardiologické společnosti 2011. Cor Vasa 2012; 54: 161– 182.

18. McMur­ray JV, Adamopoulos S, Anker SD et al. ESC Guidelines for the dia­gnosis and treatment of acute and chronic heart failure 2012. The Task Force for the Dia­gnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in col­laboration with the Heart Failure As­sociation (HFA) of the ESC. Eur Heart J 2012; 33: 1787– 1847. doi: 10.1093/ eurheartj/ ehs104.

19. O’Con­nor CM, Whel­lan DJ, Lee KL et al. HF-ACTION Investigators. Ef­ficacy and safety of exercise train­ing in patients with chronic heart failure: HF- ACTION randomized control­led trial. JAMA 2009; 301: 1439– 1450. doi: 10.1001/ jama.2009.454.

20. Piepoli MF, Davos C, Francis DP et al. Exercise train­ing meta-analysis of trials in patiens with chronic heart failure (ExTraMATCH). BMJ 2004; 328: 189– 196.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology

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