Key result
Moderate-intensity exercise safely improves physical performance in HF patients with cardiac implantable devices.
Why the study?
Does physical training at moderate exercise intensity improve physical performance and disease outcomes safely in patients with heart failure with reduced ejection fraction and cardiac implantable devices?
Does physical training at moderate exercise intensity improve physical performance and disease outcomes safely in patients with heart failure with reduced ejection fraction and cardiac implantable devices?
Moderate intensity physical training is safe and effective for improving physical performance and outcomes in HFrEF patients with cardiac implantable devices, provided device parameters and disease status are assessed prior to enrollment.
May support moderate training after pre-assessment in HFrEF with devices; leaves open confirmation by prospective trials.
The development of implantable cardiac devices brought a spectacular improvement in the prognosis of patients with heart failure with reduced ejection fraction, reducing the risk of sudden cardiac death by implanting a cardiac defibrillator, improving ventricular remodeling through cardiac resynchronization and, at the same time, increasing the pa-tient's functional capacity, reducing decompensation episodes and hospitalization. Phys-ical training at moderate exercise intensity is safe and effective in patients with heart fail-ure and cardiac implantable devices; even if they have a severely impaired effort capacity and device-related issues, the assessment of the disease status and of the device parame-ters before the enrollment in the training program warrants the improvement of physical performance and disease outcomes without notable adverse events.
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Guşetu et al. (2023) conducted a review in Heart failure with reduced ejection fraction and cardiac implantable devices. Physical training at moderate exercise intensity was evaluated. Physical training at moderate exercise intensity is safe and effective in patients with heart failure and cardiac implantable devices, improving physical performance without notable adverse events.
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