Exercise training in congestive heart failure: risks and benefits - PubMed (original) (raw)
Review
Exercise training in congestive heart failure: risks and benefits
Steven J Keteyian. Prog Cardiovasc Dis. 2011 May-Jun.
Abstract
After decades of concern about the safety and effectiveness of exercise training in patients with heart failure (HF) due to reduced ejection fraction, initial research demonstrated the feasibility and physiologic benefits associated with such an intervention. Subsequent controlled studies confirmed these results and suggested improved clinical outcomes as well. This review summarizes the findings from single-site and multisite trials and meta-analyses that addressed the effects of exercise training on exercise capacity and clinical outcomes. Conclusions from these studies indicate that exercise is safe, improves health status and exercise capacity, attenuates much of the abnormal physiology that develops with HF, and yields a modest reduction in clinical events. Future research needs to identify which patient subgroups might benefit the most, the optimal exercise dose needed to lessen disease-related symptoms and maximize clinical benefit, and the effects of exercise training in patients with HF and preserved ejection fraction.
Copyright © 2011 Elsevier Inc. All rights reserved.
Similar articles
- Exercise training in recently hospitalized heart failure patients enrolled in a disease management programme: design of the EJECTION-HF randomized controlled trial.
Mudge AM, Denaro CP, Scott AC, Atherton JJ, Meyers DE, Marwick TH, Adsett JA, Mullins RW, Suna JM, Scuffham PA, O'Rourke PK. Mudge AM, et al. Eur J Heart Fail. 2011 Dec;13(12):1370-5. doi: 10.1093/eurjhf/hfr139. Epub 2011 Nov 6. Eur J Heart Fail. 2011. PMID: 22065870 Clinical Trial. - Role and benefits of exercise in the management of patients with heart failure.
Keteyian SJ, Fleg JL, Brawner CA, Piña IL. Keteyian SJ, et al. Heart Fail Rev. 2010 Nov;15(6):523-30. doi: 10.1007/s10741-009-9157-7. Heart Fail Rev. 2010. PMID: 20101456 Review. - ExPAAC proceedings: Exercise training for individuals with heart failure.
Norman JF. Norman JF. J Geriatr Phys Ther. 2012 Oct-Dec;35(4):165-72. doi: 10.1519/JPT.0b013e3182662121. J Geriatr Phys Ther. 2012. PMID: 22871788 - Clinical role of exercise training in the management of patients with chronic heart failure.
Keteyian SJ, Piña IL, Hibner BA, Fleg JL. Keteyian SJ, et al. J Cardiopulm Rehabil Prev. 2010 Mar-Apr;30(2):67-76. doi: 10.1097/HCR.0b013e3181d0c1c1. J Cardiopulm Rehabil Prev. 2010. PMID: 20216359 Review. - The role of exercise training in heart failure.
Downing J, Balady GJ. Downing J, et al. J Am Coll Cardiol. 2011 Aug 2;58(6):561-9. doi: 10.1016/j.jacc.2011.04.020. J Am Coll Cardiol. 2011. PMID: 21798416 Review.
Cited by
- Self-efficacy strategies to improve exercise in patients with heart failure: A systematic review.
Rajati F, Sadeghi M, Feizi A, Sharifirad G, Hasandokht T, Mostafavi F. Rajati F, et al. ARYA Atheroscler. 2014 Nov;10(6):319-33. ARYA Atheroscler. 2014. PMID: 25815022 Free PMC article. Review. - Protective effect of urotensin II receptor antagonist urantide and exercise training on doxorubicin-induced cardiotoxicity.
Sun J, Zhou J, Sun S, Lin H, Zhang H, Zhong Z, Chi J, Guo H. Sun J, et al. Sci Rep. 2023 Jan 23;13(1):1279. doi: 10.1038/s41598-023-28437-y. Sci Rep. 2023. PMID: 36690700 Free PMC article. - How should we advise heart failure patients on exercise and what should we tell them?
Piotrowicz E, Orzechowski P, Chrapowicka A, Piotrowicz R. Piotrowicz E, et al. Curr Heart Fail Rep. 2014 Sep;11(3):274-80. doi: 10.1007/s11897-014-0204-x. Curr Heart Fail Rep. 2014. PMID: 24890900 Review. - An Internet-Based Counseling Intervention With Email Reminders that Promotes Self-Care in Adults With Chronic Heart Failure: Randomized Controlled Trial Protocol.
Nolan RP, Payne AY, Ross H, White M, D'Antono B, Chan S, Barr SI, Gwadry-Sridhar F, Nigam A, Perreault S, Farkouh M, McDonald M, Goodman J, Thomas S, Zieroth S, Isaac D, Oh P, Rajda M, Chen M, Eysenbach G, Liu S, Zbib A. Nolan RP, et al. JMIR Res Protoc. 2014 Jan 30;3(1):e5. doi: 10.2196/resprot.2957. JMIR Res Protoc. 2014. PMID: 24480783 Free PMC article. - Exercise Training in Patients with Heart Failure: From Pathophysiology to Exercise Prescription.
Cuomo G, Di Lorenzo A, Tramontano A, Iannone FP, D'Angelo A, Pezzella R, Testa C, Parlato A, Merone P, Pacileo M, D'Andrea A, Cudemo G, Venturini E, Iannuzzo G, Vigorito C, Giallauria F. Cuomo G, et al. Rev Cardiovasc Med. 2022 Apr 12;23(4):144. doi: 10.31083/j.rcm2304144. eCollection 2022 Apr. Rev Cardiovasc Med. 2022. PMID: 39076241 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous