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Titolo:
Exercise training in chronic heart failure: why, when and how
Autore:
Dubach, P; Sixt, S; Myers, J;
Indirizzi:
Kantonsspital, Dept Cardiol, CH-7000 Chur, Switzerland Kantonsspital Chur Switzerland CH-7000 ardiol, CH-7000 Chur, Switzerland Palo Alto Vet Affairs Hlth Care Syst, Palo Alto, CA USA Palo Alto Vet Affairs Hlth Care Syst Palo Alto CA USA Palo Alto, CA USA Stanford Univ, Stanford, CA 94305 USA Stanford Univ Stanford CA USA 94305Stanford Univ, Stanford, CA 94305 USA
Titolo Testata:
SWISS MEDICAL WEEKLY
fascicolo: 35-36, volume: 131, anno: 2001,
pagine: 510 - 514
SICI:
1424-7860(20010908)131:35-36<510:ETICHF>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT-VENTRICULAR FUNCTION; QUALITY-OF-LIFE; MYOCARDIAL-INFARCTION; SKELETAL-MUSCLE; TRIAL; DYSFUNCTION; SURVIVAL; IMPROVES;
Keywords:
chronic congestive heart failure; exercise training;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Dubach, P Kantonsspital, Dept Cardiol, CH-7000 Chur, Switzerland Kantonsspital Chur Switzerland CH-7000 -7000 Chur, Switzerland
Citazione:
P. Dubach et al., "Exercise training in chronic heart failure: why, when and how", SWISS MED W, 131(35-36), 2001, pp. 510-514

Abstract

The management of patients with chronic congestive heart failure has changed considerably during the last decade. Until recently, restriction of physical activity was recommended for patients with chronic heart failure. However, the knowledge that training influences largely the periphery rather than the heart itself has led to a dramatic change in the approach toward training in patients with chronic heart failure. Why to train patients with chronic heart failure: Training increases exercise tolerance by an average of 20% in chronic heart failure regardless of etiology (ischemic or non-ischemic cardiomyopathy) or severity of left ventricular dysfunction. Available data, while limited, demonstrate that increases in exercise capacity are paralleled by an improvement in quality of life. Studies have consistently demonstrated that training has no deleterious effect on central haemodynamics, left ventricular remodeling, systolic or diastolic function, or myocardial metabolism. At present, there are insufficient data to determine the effect of training oil prognosis, but trials are currently underway to address this. When to train patients with chronic heart failure: Exercise training Should be performed only with the patients that have been in a stable clinical condition for a period of at least 3-4 weeks. Clinical stability is defined as no change in symptoms, weight,drug regimen, or NYHA class over this period. How to train patients with chronic heart failure: Initially, the program Should be supervised for a period of 2 to 4 weeks; home-based programs are usually, appropriate thereafter. Activities that call be maintained for a lifetime should be encouraged, and the focus Should be oil aerobic-type activities. The intensity, level should be targeted to about 50%-70% of peak VO2and/or Borg ratings of 12-14 (" walk and talk ").

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/01/20 alle ore 02:29:19