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Titolo:
Physical activity and training for heart failure
Autore:
Weber, T; Kirchgatterer, A; Auer, J; Mayr, H; Maurer, E; Eber, B;
Indirizzi:
Allgemeines Krankenhaus Barmhertzigen Schwestern, Interne Abt Kardiol 2, A-1600 Wels, Austria Allgemeines Krankenhaus Barmhertzigen Schwestern WelsAustria A-1600 ria
Titolo Testata:
ZEITSCHRIFT FUR KARDIOLOGIE
fascicolo: 3, volume: 89, anno: 2000,
pagine: 227 - 235
SICI:
0300-5860(200003)89:3<227:PAATFH>2.0.ZU;2-V
Fonte:
ISI
Lingua:
GER
Soggetto:
LEFT-VENTRICULAR FUNCTION; QUALITY-OF-LIFE; CONVERTING ENZYME-INHIBITION; SKELETAL-MUSCLE METABOLISM; PEAK AEROBIC CAPACITY; TUMOR-NECROSIS-FACTOR; EXERCISE CAPACITY; MYOCARDIAL-INFARCTION; BLOOD-FLOW; VENTILATORY RESPONSE;
Keywords:
heart failure; exercise training; skeletal muscle; quality of life; prognosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
91
Recensione:
Indirizzi per estratti:
Indirizzo: Weber, T Allgemeines Krankenhaus Barmhertzigen Schwestern, Interne Abt Kardiol 2, Greiskirchnerstr 42, A-1600 Wels, Austria Allgemeines Krankenhaus Barmhertzigen Schwestern Greiskirchnerstr 42 Wels Austria A-1600
Citazione:
T. Weber et al., "Physical activity and training for heart failure", Z KARDIOL, 89(3), 2000, pp. 227-235

Abstract

The main symptoms of chronic heart failure are dyspnoe and exercise intolerance. The pathophysiological basis of these symptoms is not simply the dysfunction of the heart, but a complex interaction of the central circulation, the peripheral vessels, the skeletal muscles, the ventilatory, and the endocrine system. In contrast to acute heart failure, where bedrest is known to be beneficial, prolonged limitation of physical activity can be detrimental in the chronic stage of the disease. Therefore, since the 1980s there have been several reports about heart failure patients participating in exercise programs. The results were encouraging: the physiological gains were impressive, and contrary to prior fears, in the great majority of reports nodeterioration of the cardiac function could be observed. The net result oftraining in this condition is an improvement in exercise capacity in the range of the best pharmacological treatment. In detail, blood flow into the working muscle is increased, the ventilation for each given workload is reduced the skeletal muscle overall function (including biochemical and histological aspects) is improved, the increased neurohormonal activity - especially of the sympathicoadrenergic system - will be normalized, and the patient's quality of life is; significantly improved. Whether all of these beneficial aspects will result in improved survival is not yet proven, although one recent study provides some evidence in this direction. But even if todayno definite answer to this question from a large, multicenter trial is available, application of exercise training for selected heart failure patients can be recommended, if adequate supervision is provided.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 05:20:20