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Physical Training and Cardiac Rehabilitation in Heart Failure Patients

Part of the Advances in Experimental Medicine and Biology book series (AIM,volume 1067)

Abstract

Regardless of advances in medical and interventional treatment of cardiovascular disease (CVD), a limited number of patients attend a cardiac rehabilitation (CR) programme on a regular basis. Due to modern therapies more individuals will be surviving an acute cardiovascular event, but the expected burden of chronic heart failure will be increasing worldwide.

However, both in high- and low-income countries, secondary prevention after an acute myocardial infarction or stroke has been implemented in less than a half of eligible patients.

Combined interventions are still needed to reduce decompensations, hospitalizations and mortality in heart failure patients from any origin. In addition to medical treatments, regular exercise has been demonstrated to improve metabolic and hemodynamic conditions in both asymptomatic risk factor carriers and cardiac patients. Risk factor control and exercise should gather together for an effective management of patients.

Exercise-based training is a core component of primary and secondary prevention. It should involve healthy carriers of cardiovascular risk factors, and patients with cardiomyopathy as well. The supposed attenuated effect of CR in the era of advanced revascularization and structural interventions is due to the heterogeneity of training models and physical training in the literature. Moreover, lifestyle modification, psycho-social challenges and patient’s compliance are potential confounders.

In this chapter the most recent evidences about training modalities and potential benefit of CR in heart failure patients are discussed.

Keywords

  • Cardiac rehabilitation
  • Cardiovascular disease
  • Exercise
  • Functional evaluation
  • Heart failure
  • Clinical outcomes
  • Physical training

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  • DOI: 10.1007/5584_2018_144
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Abbreviations

AF:

Atrial Fibrillation

CET:

Cardiopulmonary Exercise Test

CHF:

Chronic/Congestive Heart Failure

CO2:

Carbon Dioxide Oxygen

CR:

Cardiac Rehabilitation

CT:

Continuous Training

CV:

Cardiovascular

CVD:

Cardiovascular Disease

HR:

Heart Rate

ICD:

Intracardiac Implantable Defibrillator

IMT:

Inspiratory Muscle Training

IT:

Interval Training

LV:

Left Ventricle/Ventricular

O2:

Oxygen

VO2:

Oxygen Consumption

SET:

Strength-exercise Training

TAVI:

Transcatheter Aortic Valve Implantation

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Correspondence to Cesare de Gregorio .

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de Gregorio, C. (2018). Physical Training and Cardiac Rehabilitation in Heart Failure Patients. In: Islam, M. (eds) Heart Failure: From Research to Clinical Practice. Advances in Experimental Medicine and Biology(), vol 1067. Springer, Cham. https://doi.org/10.1007/5584_2018_144

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  • DOI: https://doi.org/10.1007/5584_2018_144

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78279-9

  • Online ISBN: 978-3-319-78280-5

  • eBook Packages: MedicineMedicine (R0)