December 2, 2020European Journal of Preventive Cardiology

Combined aerobic/resistance/inspiratory muscle training as the ‘optimum’ exercise programme for patients with chronic heart failure: ARISTOS-HF randomized clinical trial

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Why the study?

An optimum, universally agreed exercise programme for heart failure patients had not been established.

Does combined aerobic, resistance, and inspiratory muscle training improve aerobic capacity and left ventricular dimensions in patients with chronic heart failure compared to other exercise combinations?

Comparison

Combined AT/RT/IMT vs AT/RT vs AT/IMT vs AT alone

Design

Randomized clinical trial

Follow-up

12 weeks

Authors

ILIoannis D. LaoutarisOnassis Cardiac Surgery Center EPEwa PiotrowiczHeart Failure & Transplant MKManolis S. KallistratosGeorge Washington University

Discussion

Member takes

Implication

May support ARIS for functional and LV gains in HFrEF; extends multimodal training evidence beyond AT/RT.

Structured PICO

Population

88 patients with chronic heart failure (NYHA class II-III, LVEF ≤ 35%), mean age 66.1 years (74 patients analyzed).

Intervention

Combined aerobic training (AT), resistance training (RT), and inspiratory muscle training (IMT) (ARIS group), exercising 3 times/week, 180 min/week for 12 weeks.

Comparator

Aerobic training/resistance training (AT/RT), aerobic training/inspiratory muscle training (AT/IMT), or aerobic training (AT) alone, exercising 3 times/week, 180 min/week for 12 weeks.

Outcome

Aerobic capacity (peakVO2 evaluated with cardiopulmonary exercise testing) and left ventricular dimensions (using echocardiography) at 12 weeks.surrogate

Combined aerobic, resistance, and inspiratory muscle training for 12 weeks provides superior functional and echocardiographic benefits compared to other exercise modalities in patients with HFrEF.

Cite This Study

Laoutaris et al. (2020) studied this question.

synapsesocial.com/papers/6a7e5ef2e6c31702d43baa2e https://doi.org/10.1093/eurjpc/zwaa091

Topics

HFrEF treatment Heart failure HFpEF management

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