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Titolo:
EXPERIENCE FROM CONTROLLED TRIALS OF PHYSICAL-TRAINING IN CHRONIC HEART-FAILURE - PROTOCOL AND PATIENT FACTORS IN EFFECTIVENESS IN THE IMPROVEMENT IN EXERCISE TOLERANCE
Autore:
MAUGERI FS; CAMPANA M; FERRARI R; GIORDANO A; SCALVINI S; VOLTERRANI M; BERNARDI L; CALCIATI A; FINARDI G; PERLINI S; RADAELLI A; SOLDA PL; ADAMOPOULOS S; COATS AJS; CHUA TP; PIEPOLI M; POOLEWILSON PA; PONIKOWSKI P; VOLTERRANI M; WEBBPEPLOE K; BARLOW C; CONWAY J; DAVEY PP; MEYER TE; PATERSON DJ; ROBBINS P; SLEIGHT P; KARA T; SOUCE M; SPINAROVA L; STEJFA M; TOMAN J; ZATLOUKAL B; SZELEMERY R; WRABEC K;
Indirizzi:
STRADONE FARNESE 62 I-29100 PIACENZO ITALY UNIV LONDON IMPERIAL COLL SCI TECHNOL & MED,ROYAL BROMPTON NATL HEART& LUNG HOSP LONDON SW3 6NP ENGLAND FDN S MAUGERI,DEPT CARDIOL GUSSAGO ITALY UNIV PAVIA,DEPT INTERNAL MED I-27100 PAVIA ITALY ONASSION CARDIAC CTR ATHENS GREECE ROYAL BROMPTON HOSP,DEPT CARDIAC MED LONDON SW3 6LY ENGLAND UNIV OXFORD,DEPT CARDIAC MED OXFORD OX1 2JD ENGLAND ST ANNA HOSP,DEPT CARDIAC BRNO CZECH REPUBLIC MED ACAD,DEPT CARDIOL WROCLAW POLAND
Titolo Testata:
European heart journal
fascicolo: 3, volume: 19, anno: 1998,
pagine: 466 - 475
SICI:
0195-668X(1998)19:3<466:EFCTOP>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
IMPAIRED VENTRICULAR-FUNCTION; MYOCARDIAL-INFARCTION; CARDIAC REHABILITATION; CAPACITY; PLASMA; PERFORMANCE; RESPONSES; VENTILATION; FITNESS; BENEFIT;
Keywords:
AUTONOMIC CONTROL; EXERCISE; HEART FAILURE; HEMODYNAMICS; REHABILITATION; VENTILATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
44
Recensione:
Indirizzi per estratti:
Citazione:
F.S. Maugeri et al., "EXPERIENCE FROM CONTROLLED TRIALS OF PHYSICAL-TRAINING IN CHRONIC HEART-FAILURE - PROTOCOL AND PATIENT FACTORS IN EFFECTIVENESS IN THE IMPROVEMENT IN EXERCISE TOLERANCE", European heart journal, 19(3), 1998, pp. 466-475

Abstract

Background Beneficial effects of physical training on exercise tolerance, autonomic and skeletal muscle function and limb blood flow have been demonstrated in chronic heart failure. Because this rehabilitationis expensive, may involve risk, and has unknown effects on prognosis,the possibility of predicting benefit on the basis of individual patient data is intriguing. The most suitable exercise training programme has not yet been established. Methods and Results We reviewed the progress of 134 stable heart failure patients studied in randomized controlled trials of physical training. A significant training effect (+13% peak oxygen consumption, +17% exercise duration) was associated with improved autonomic indices (resting catecholamines and hormones, heart rate variability), without significant side-effects. No ventilatory, haemodynamic, autonomic or clinical factor at baseline was a predictor of outcome. Similar beneficial effects were observed in both male and female patients. The improvement in oxygen consumption after 16 weeks training was higher than after 6 weeks (+2.6+/-3.0 vs +0.3+/-3.1 ml.kg.min(-1), P<0.05). The combination of cycle ergometer with calisthenicexercises was more beneficial than cycle ergometer alone (+2.7+/-4.2 vs 1.2+/-2.0 ml.kg.min(-1), P<0.01). The presence of non-sustained ventricular tachycardia did not preclude a training effect. Patients older than 70 years were able to train, although less effectively than theyounger ones. No difference in exercise gain was observed whether thepatients trained in the hospital or at home. Conclusion The positive effects of physical rehabilitation in chronic stable heart failure patients are confirmed. No baseline patient factor was significantly correlated with outcome. A tailored, moderate, home-based, combined cycle ergometer, plus calisthenic exercise training seems safe and beneficial in a large cohort of heart failure patients, with similar benefits in a variety of conditions and different hospital settings.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 06:48:11