Why the study?
Does supervised endurance exercise training elicit different responses in older adults with HFpEF compared to HFrEF?
Does supervised endurance exercise training elicit different responses in older adults with HFpEF compared to HFrEF?
Supervised exercise training provides improvement in older adults with HFpEF, suggesting that policies excluding these patients from cardiac rehabilitation reimbursement should be revisited.
Supports greater exercise response in older HFpEF versus HFrEF; leaves open policy implications pending prospective confirmation.
OBJECTIVES: To systematically examine the relative magnitude and predictors of responses to exercise training in older adult with heart failure (HF) with reduced ejection fraction (HFrEF), and preserved EF (HFpEF). DESIGN: Secondary analysis of a randomized controlled trial. SETTING: Outpatient cardiac rehabilitation program. PARTICIPANTS: Individuals with HF (24 HFrEF, 24 HFpEF) who underwent supervised exercise training. MEASUREMENTS: with exercise training were assessed using univariate and multivariate regression models. RESULTS: . CONCLUSION: improvement in HFpEF than HFrEF. These results suggest that the current Centers for Medicare and Medicaid Services policy excluding individuals with HFpEF from reimbursement from cardiac rehabilitation may need to be revisited.
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Pandey et al. (2017) studied this question.
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