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Exercise training in patients with chronic heart failure: A new challenge for Cardiac Rehabilitation Community.

Authors :
Giallauria, Francesco
Piccioli, Lucrezia
Vitale, Giuseppe
Sarullo, Filippo M.
Source :
Monaldi Archives for Chest Disease; 2018, Vol. 88 Issue 3, p38-44, 7p
Publication Year :
2018

Abstract

Exercise training (ET) is strongly recommended in patients with chronic stable heart failure (HF). Moderate-intensity aerobic continuous ET is the best-established training modality in HF patients. In the last decade, however, high-intensity interval exercise training (HIIT) has aroused considerable interest in cardiac rehabilitation community. In HF patients, HIIT exerts larger improvements in exercise capacity compared to moderate-continuous ET. Since better functional capacity translates into symptoms relief and improvement in quality of life in patients with HF, this training modality is collecting growing interest and consensus, not revealing major safety issues. HIIT should not replace other training modalities in HF but should rather complement them. Inspiratory muscle training, another promising training modality in patients with HF, exerts beneficial effect on inspiratory muscle strength and inspiratory endurance, on exercise capacity and quality of life. In conclusion, taking into consideration the complecity of HF syndrome, combining and tailoring different ET modalities according to each patient's baseline clinical characteristics (i.e., exercise capacity, comorbidity, frailty status, personal needs, preferences and goals) seem the wiliest approach for exercise prescription. The present re-view aims at discussing the rececent evidences on the effects of exercise training in patients with chronic HF (with both reduced and preserved left ventricular function). [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
11220643
Volume :
88
Issue :
3
Database :
Complementary Index
Journal :
Monaldi Archives for Chest Disease
Publication Type :
Academic Journal
Accession number :
131808065
Full Text :
https://doi.org/10.4081/monaldi.2018.987