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Datenlage und Umsetzung im Alltag

Körperliche Aktivität bei Herzinsuffizienz

  • Fortbildung
  • Kardiologie
  • Published:
CardioVasc Aims and scope

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.

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Literatur

  1. Sullivan MJ, Higginbotham MB, Cobb FR. Exercise training in patients with severe left ventricular dysfunction. Hemodynamic and metabolic effects. Circulation. 1988;78:506–15

    CAS  PubMed  Google Scholar 

  2. 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

    Article  CAS  PubMed  Google Scholar 

  3. 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

    Article  CAS  PubMed  Google Scholar 

  4. 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

    Article  CAS  PubMed  Google Scholar 

  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

    Article  CAS  PubMed  Google Scholar 

  6. 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

    Article  CAS  PubMed  Google Scholar 

  7. 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

    Article  CAS  PubMed  Google Scholar 

  8. 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

    Article  CAS  PubMed  Google Scholar 

  9. 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

    Article  CAS  PubMed  Google Scholar 

  10. 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

    Article  CAS  PubMed  Google Scholar 

  11. 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

    Article  CAS  PubMed  Google Scholar 

  12. Taylor RS, Sagar VA, Davies EJ et al. Exercise-based rehabilitation for heart failure. Cochrane Database Syst Rev. 2014;4:CD003331

    Google Scholar 

  13. 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

    Article  PubMed  PubMed Central  Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  PubMed  Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

  18. 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

    Article  PubMed  Google Scholar 

  19. 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

    PubMed  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  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

    Article  PubMed  PubMed Central  Google Scholar 

  23. 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

    Article  PubMed  Google Scholar 

  24. 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

    Article  CAS  PubMed  Google Scholar 

  25. 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

    Article  PubMed  Google Scholar 

  26. 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

    Google Scholar 

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Correspondence to Harm Wienbergen.

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Wienbergen, H., Hambrecht, R. Körperliche Aktivität bei Herzinsuffizienz. CV 17, 43–46 (2017). https://doi.org/10.1007/s15027-017-1184-z

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  • DOI: https://doi.org/10.1007/s15027-017-1184-z

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