February 23, 2016Journal of Cardiopulmonary Rehabilitation and Prevention

Long-Term Exercise Training in Patients With Advanced Chronic Heart Failure

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Why the study?

Does daily exercise training improve left ventricular performance and exercise capacity in patients with advanced chronic heart failure (NYHA class IIIb)?

Structured PICO

Does daily exercise training improve left ventricular performance and exercise capacity in patients with advanced chronic heart failure (NYHA class IIIb)?

Population

37 patients with advanced chronic heart failure (CHF) and New York Heart Association (NYHA) class IIIb

Intervention

Daily exercise training on a cycle ergometer (in-hospital and home-based at 50%-60% of maximal exercise capacity) over 12 months

Comparator

Sedentary lifestyle

Outcome

Left ventricular performance (left ventricular end-diastolic diameter and resting left ventricular ejection fraction) and exercise capacity (maximal oxygen uptake VO2max) at 3, 6, and 12 monthssurrogate

Long-term daily exercise training over 12 months significantly improves exercise capacity and reverses left ventricular remodeling in patients with advanced chronic heart failure (NYHA IIIb).

Discussion

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Implication

Supports exercise training in advanced HF care; extends remodeling and capacity benefits to NYHA IIIb.

Cite This Study

Höllriegel et al. (2016) studied this question.

synapsesocial.com/papers/6a1098f0e1a472cb5efd3295 https://doi.org/10.1097/hcr.0000000000000165

Topics

HFrEF treatment Heart failure Heart failure hospitalization HFpEF management

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