Exercise training in heart failure

被引:1
作者
Piepoli M.F. [1 ]
机构
[1] Heart Failure Unit, Cardiology Department, G. da Saliceto Polichirurgico Hospital
关键词
Heart Failure; Heart Rate Variability; Exercise Training; Chronic Heart Failure; Cardiac Rehabilitation;
D O I
10.1007/s11897-006-0029-3
中图分类号
学科分类号
摘要
The reduction of exercise capacity with early occurrence of fatigue and dyspnea is a hallmark of heart failure syndrome. There are objective similarities between heart failure and muscular deconditioning. Deficiencies in peripheral blood flow and skeletal muscle function, morphology, metabolism, and function are present. The protective effects of physical activity have been elucidated in many recent studies: training improves ventilator/ control, skeletal muscle metabolism, autonomic nervous system, central and peripheral circulation, and heart function. These provide the physiologic basis to explain the benefits in terms of survival and freedom from hospitalization demonstrated by physical training also in heart failure. Copyright © 2006 by Current Science Inc.
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页码:33 / 40
页数:7
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  • [1] Coats A.J.S., Exercise rehabilitation in chronic heart failure, J Am Coll Cardiol, 22, (1993)
  • [2] McDonald C.D., Burch G.E., Walsh J.J., Prolonged bed rest in the treatment of idiopathic cardiomyopathy, Am J Med, 52, pp. 41-50, (1972)
  • [3] Sullivan M.J., Higginbotham M.B., Cobb F.R., Exercise training in patients with severe left ventricular dysfunction: Hemodynamic and metabolic effects, Circulation, 78, pp. 506-515, (1988)
  • [4] Coats A.J.S., Adamopoulos S., Meyer T.E., Conway J., Sleight P., Effects of physical training in chronic heart failure, Lancet, 335, pp. 63-66, (1990)
  • [5] Piepoli M., Experience from controlled trials of physical training in chronic heart failure: Protocol and patient factors in effectiveness in the improvement in exercise tolerance, Eur Heart J, 19, pp. 466-475, (1998)
  • [6] Davey P., Meyer T., Coats A., Et al., Ventilation in chronic heart failure: Effects of physical training, Br Heart J, 68, pp. 473-477, (1992)
  • [7] Francis D.P., Shamim W., Davies L.C., Et al., Cardiopulmonary exercise testing for prognosis in chronic heart failure: Continuous and independent prognostic value from VE/VCO 2 and peak VO2, Eur Heart J, 21, pp. 154-161, (2000)
  • [8] Ponikowski P., Chua T.P., Piepoli M., Et al., Augmented peripheral chemosensitivity as a potential input to baroreflex impairment and autonomic imbalance in chronic heart failure, Circulation, 96, pp. 2586-2594, (1997)
  • [9] Chua T.P., Ponikowski P., Webb-Peploe K., Et al., Clinical characteristics of chronic heart failure patients with an augmented peripheral chemoreflex, Eur Heart J, 18, pp. 480-486, (1997)
  • [10] Guazzi M., Reina G., Tumminello G., Guazzi M.D., Improvement of alveolar-capillary membrane diffusing capacity with exercise training in chronic heart failure, J Appl Physiol, 97, pp. 1866-1873, (2004)