Körperliches Training wirkt einer Vielzahl von Pathomechanismen der Herzinsuffizienz, wie der endothelialen Dysfunktion und der neurohumoralen Aktivierung, entgegen und kann somit eine deutliche klinische Verbesserung der Patienten erreichen. Patienten mit Herzinsuf-fizienz sollten deshalb ein individuell angepasstes Trainingsprogramm verordnet bekommen, das nach einer engmaschig überwachten Anfangsphase zunehmend in den Alltag der Patienten integriert wird.
Literatur
Sullivan MJ, Higginbotham MB, Cobb FR. Exercise training in patients with severe left ventricular dysfunction. Hemodynamic and metabolic effects. Circulation. 1988;78:506–15
Hambrecht R, Gielen S, Linke A et al. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure: A randomized trial. JAMA. 2000;283:3095–101
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;85:2119–31
Braith RW, Welsch MA, Feigenbaum MS et al. Neuroendocrine activation in heart failure is modified by endurance exercise training. J Am Coll Cardiol. 1999;34:1170–5
Hambrecht R, Fiehn E, Weigl C et al. Regular physical exercise corrects endothelial dysfunction and improves exercise capacity in patients with chronic heart failure. Circulation. 1998;98:2709–15
Hambrecht R, Fiehn E, Yu J et al. Effects of endurance training on mitochondrial ultrastructure and fiber type distribution in skeletal muscle of patients with stable chronic heart failure. J Am Coll Cardiol. 1997;29:1067–73
Adams V, Linke A, Kränkel N et al. Impact of regular physical activity on the NAD(P)H oxidase and angiotensin receptor system in patients with coronary artery disease. Circulation. 2005;111:555–62
Linke A, Adams V, Schulze PC et al. Antioxidative effects of exercise training in patients with chronic heart failure: increase in radical scavenger enzyme activity in skeletal muscle. Circulation. 2005;111:1763–70
Hambrecht R, Niebauer J, Fiehn E et al. Physical training in patients with stable chronic heart failure: effects on cardiorespiratory fitness and ultrastructural abnormalities of leg muscles. J Am Coll Cardiol. 1995;25:1239–49
Gielen S, Adams V, Möbius-Winkler S et al. Anti-inflammatory effects of exercise training in the skeletal muscle of patients with chronic heart failure. J Am Coll Cardiol. 2003;42:861–8
Piepoli MF, Davos C, Francis DP, Coats AJ. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004; 328:189
Taylor RS, Sagar VA, Davies EJ et al. Exercise-based rehabilitation for heart failure. Cochrane Database Syst Rev. 2014;4:CD003331
O'Connor CM, Whellan DJ, Lee KL et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301:1439–50
Erbs S, Höllriegel R, Linke A et al. Exercise training in patients with advanced chronic heart failure (NYHA IIIb) promotes restoration of peripheral vasomotor function, induction of endogenous regeneration, and improvement of left ventricular function. Circ Heart Fail. 2010;3:486–94
Höllriegel R, Winzer EB, Linke A et al. Long-Term Exercise Training in Patients With Advanced Chronic Heart Failure: Sustained benefits on left ventricular performance and exercise capacity. J Cardiopulm Rehabil Prev. 2016;36:117–24
Edelmann F, Gelbrich G, Düngen HD et al. Exercise training improves exercise capacity and diastolic function in patients with heart failure with preserved ejection fraction: results of the Ex-DHF (Exercise training in Diastolic Heart Failure) pilot study. J Am Coll Cardiol. 2011;58:1780–91
Sandri M, Kozarez I, Adams V et al. Age-related effects of exercise training on diastolic function in heart failure with reduced ejection fraction: the Leipzig Exercise Intervention in Chronic Heart Failure and Aging (LEICA) Diastolic Dysfunction Study. Eur Heart J. 2012;33:1758–68
Ponikowski P, Voors AA, Anker S et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2016;37:2129–200
Piepoli MF, Conraads V, Corrà U et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13:347–57
Corrà U, Piepoli MF, Adamopoulos S et al. Cardiopulmonary exercise testing in systolic heart failure in 2014: the evolving prognostic role: a position paper from the committee on exercise physiology and training of the heart failure association of the ESC. Eur J Heart Fail. 2014;16:929–41
Ismail H, McFarlane JR, Nojoumian AH et al. Clinical outcomes and cardiovascular responses to different exercise training intensities in patients with heart failure: a systematic review and meta-analysis. JACC Heart Fail. 2013;1:514–22
Ellingsen Ø, Halle M, Conraads V et al. High-Intensity Interval Training in Patients With Heart Failure With Reduced Ejection Fraction. Circulation. 2017;135:839–49
Mandic S, Myers J, Selig SE, Levinger I. Resistance versus aerobic exercise training in chronic heart failure. Curr Heart Fail Rep. 2012;9:57–64
Spruit MA, Eterman RM, Hellwig VA et al. Effects of moderate-to-high intensity resistance training in patients with chronic heart failure. Heart. 2009;95:1399–408
Conraads VM, Deaton C, Piotrowicz E et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2012;14:451–8
Wienbergen H, Stehmeier J, Backhaus T et al. Erfassung und Kontrolle körperlicher Aktivität mit Schrittzählern und Online-Dokumentation in der Sekundärprävention nach Myokardinfarkt. Erste Ergebnisse der IPP-Studie. Clin Res Cardiol. 2016;105(Suppl 1): V919
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wienbergen, H., Hambrecht, R. Körperliche Aktivität bei Herzinsuffizienz. CV 17, 43–46 (2017). https://doi.org/10.1007/s15027-017-1184-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15027-017-1184-z