ExtraHF survey: the first European survey on implementation of exercise training in heart failure patients - PubMed (original) (raw)
doi: 10.1002/ejhf.271. Epub 2015 Apr 27.
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- PMID: 25914265
- DOI: 10.1002/ejhf.271
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ExtraHF survey: the first European survey on implementation of exercise training in heart failure patients
Massimo F Piepoli et al. Eur J Heart Fail. 2015 Jun.
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Abstract
Aims: In heart failure (HF), exercise training programmes (ETPs) are a well-recognized intervention to improve symptoms, but are still poorly implemented. The Heart Failure Association promoted a survey to investigate whether and how cardiac centres in Europe are using ETPs in their HF patients.
Methods and results: The co-ordinators of the HF working groups of the countries affiliated to the European Society of Cardiology (ESC) distributed and promoted the 12-item web-based questionnaire in the key cardiac centres of their countries. Forty-one country co-ordinators out of the 46 contacted replied to our questionnaire (89%). This accounted for 170 cardiac centres, responsible for 77,214 HF patients. The majority of the participating centres (82%) were general cardiology units and the rest were specialized rehabilitation units or local health centres. Sixty-seven (40%) centres [responsible for 36,385 (48%) patients] did not implement an ETP. This was mainly attributed to the lack of resources (25%), largely due to lack of staff or lack of financial provision. The lack of a national or local pathway for such a programme was the reason in 13% of the cases, and in 12% the perceived lack of evidence on safety or benefit was cited. When implemented, an ETP was proposed to all HF patients in only 55% of the centres, with restriction according to severity or aetiology.
Conclusions: With respect to previous surveys, there is evidence of increased availability of ETPs in HF in Europe, although too many patients are still denied a highly recommended therapy, mainly due to lack of resources or logistics.
Keywords: Cardiac rehabilitation; Cardiovascular disease; Europe; Prevention.
© 2015 The Authors. European Journal of Heart Failure © 2015 European Society of Cardiology.
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