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Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction
Reduced exercise tolerance is an independent predictor of hospital readmission and mortality in patients with heart failure (HF). Exercise training for HF patients is well established as an adjunct therapy, and there is sufficient evidence to support the favorable role of exercise training programs...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Libertas Academica
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324467/ https://www.ncbi.nlm.nih.gov/pubmed/25698883 http://dx.doi.org/10.4137/CMC.S21372 |
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author | Asrar Ul Haq, Muhammad Goh, Cheng Yee Levinger, Itamar Wong, Chiew Hare, David L |
author_facet | Asrar Ul Haq, Muhammad Goh, Cheng Yee Levinger, Itamar Wong, Chiew Hare, David L |
author_sort | Asrar Ul Haq, Muhammad |
collection | PubMed |
description | Reduced exercise tolerance is an independent predictor of hospital readmission and mortality in patients with heart failure (HF). Exercise training for HF patients is well established as an adjunct therapy, and there is sufficient evidence to support the favorable role of exercise training programs for HF patients over and above the optimal medical therapy. Some of the documented benefits include improved functional capacity, quality of life (QoL), fatigue, and dyspnea. Major trials to assess exercise training in HF have, however, focused on heart failure with reduced ejection fraction (HFREF). At least half of the patients presenting with HF have heart failure with preserved ejection fraction (HFPEF) and experience similar symptoms of exercise intolerance, dyspnea, and early fatigue, and similar mortality risk and rehospitalization rates. The role of exercise training in the management of HFPEF remains less clear. This article provides a brief overview of pathophysiology of reduced exercise tolerance in HFREF and heart failure with preserved ejection fraction (HFPEF), and summarizes the evidence and mechanisms by which exercise training can improve symptoms and HF. Clinical and practical aspects of exercise training prescription are also discussed. |
format | Online Article Text |
id | pubmed-4324467 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Libertas Academica |
record_format | MEDLINE/PubMed |
spelling | pubmed-43244672015-02-19 Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction Asrar Ul Haq, Muhammad Goh, Cheng Yee Levinger, Itamar Wong, Chiew Hare, David L Clin Med Insights Cardiol Review Reduced exercise tolerance is an independent predictor of hospital readmission and mortality in patients with heart failure (HF). Exercise training for HF patients is well established as an adjunct therapy, and there is sufficient evidence to support the favorable role of exercise training programs for HF patients over and above the optimal medical therapy. Some of the documented benefits include improved functional capacity, quality of life (QoL), fatigue, and dyspnea. Major trials to assess exercise training in HF have, however, focused on heart failure with reduced ejection fraction (HFREF). At least half of the patients presenting with HF have heart failure with preserved ejection fraction (HFPEF) and experience similar symptoms of exercise intolerance, dyspnea, and early fatigue, and similar mortality risk and rehospitalization rates. The role of exercise training in the management of HFPEF remains less clear. This article provides a brief overview of pathophysiology of reduced exercise tolerance in HFREF and heart failure with preserved ejection fraction (HFPEF), and summarizes the evidence and mechanisms by which exercise training can improve symptoms and HF. Clinical and practical aspects of exercise training prescription are also discussed. Libertas Academica 2015-02-09 /pmc/articles/PMC4324467/ /pubmed/25698883 http://dx.doi.org/10.4137/CMC.S21372 Text en © 2015 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article published under the Creative Commons CC-BY-NC 3.0 license. |
spellingShingle | Review Asrar Ul Haq, Muhammad Goh, Cheng Yee Levinger, Itamar Wong, Chiew Hare, David L Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title | Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title_full | Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title_fullStr | Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title_full_unstemmed | Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title_short | Clinical Utility of Exercise Training in Heart Failure with Reduced and Preserved Ejection Fraction |
title_sort | clinical utility of exercise training in heart failure with reduced and preserved ejection fraction |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324467/ https://www.ncbi.nlm.nih.gov/pubmed/25698883 http://dx.doi.org/10.4137/CMC.S21372 |
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