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Wiener Medizinische Wochenschrift

, Volume 168, Issue 1–2, pp 23–30 | Cite as

Rehabilitation bei Herzinsuffizienz

  • Johann AltenbergerEmail author
themenschwerpunkt

Zusammenfassung

Herzinsuffizienz ist eine prognostisch relevante und epidemiologisch bedeutsame Erkrankung mit hohem Kostenfaktor. In der Genese der Belastungsintoleranz spielt die skelettmuskuläre Myopathie eine relevante Rolle. Rehabilitation bei Herzinsuffizienz adressiert vor allem die medizinische Trainingstherapie zur Stärkung und Konditionierung der Skelettmuskulatur und wird von den kardiologischen Fachgesellschaften mit einer Klasse IA-Indikation versehen. Trainingsmethodisch wird ein moderates kontinuierliches Ausdauertraining oder Intervalltraining mit Krafttraining kombiniert. Einem multimodalen Ansatz entsprechend wird auch Augenmerk auf die Optimierung der neurohumoralen Therapie sowie die Beratung und Schulung der Patienten zur Stärkung der Selbstkompentenz sowie der psychosozialen Unterstützung gelegt.

Schlüsselwörter

Rehabilitation Herzinsuffizienz Training Multidisziplinäre Betreuung Neurohumorale Therapie 

Cardiac rehabilitation in heart failure

Summary

Heart failure is a malignant disorder with increasing prevalence and a high socioeconomic impact. Sceletal muscle myopathy seems to play a key role in the development of exercise intolerance. Cardiac rehabilitation for heart failure mainly adresses training, namely moderate continuous endurance training or interval training in combination with resistance training, and is highly recommended in the current ESC-guidelines. Following a multimodal concept cardiac rehabilitation also implements optimisation of neurohumoral therapy, education and counselling to empower self-care as well as psychosocial support.

Keywords

Rehabilitation Heart Failure Training Multidisciplinary care 

Notes

Interessenkonflikt

J. Altenberger gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  1. 1.SKA Rehabilitationszentrum GroßgmainGroßgmainÖsterreich

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