Key result
Physical rehabilitation programs improve exercise capacity, quality of life, muscle function, and pulmonary circulation in clinically stable patients with pulmonary arterial hypertension.
Why the study?
Although physical rehabilitation is indicated for clinically stable patients with pulmonary arterial hypertension receiving drug therapy, there is no generally accepted exercise protocol.
Does physical rehabilitation improve exercise capacity and quality of life in patients with pulmonary arterial hypertension?
Does physical rehabilitation improve exercise capacity and quality of life in patients with pulmonary arterial hypertension?
Physical rehabilitation is indicated for clinically stable patients with pulmonary arterial hypertension on drug therapy, offering improvements in exercise capacity and quality of life.
May benefit stable PAH on therapy; hypothesis-generating from Level 5 data, needing RCTs.
Pulmonary arterial hypertension (PAH) is characterized by characterized by a continuous increase in precapillary pulmonary vascular resistance with a progressive decrease in cardiac output, which leads to progressive dyspnea, fatigue, and deterioration of exercise capacity. Traditionally, the patients have been advised to limit physical exercises. Recent studies suggest that there are improvements in exercise capacity, quality of life, muscle function, and pulmonary circulation when cardiovascular and pulmonary rehabilitation programs are implemented. According to the 2015 European Society of Cardiology guidelines for the management of patients with PAH, physical rehabilitation is indicated for clinically stable patients who receive drug therapy for this disease. There are various physical rehabilitation programs, but there is no generally accepted protocol for physical exercises in patients with PAH. The review highlights the pathophysiological mechanisms for reducing exercise capacity in patients with PAH; methods for assessing the right ventricular contractile reserve, the effect of physical stress on the cardiovascular system, lungs, and muscles; the existing physical rehabilitation programs, complications and ways to overcome them are considered. Clinical trials studies are also briefly analyzed; promising areas for further development and improvement of rehabilitation programs are considered.
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Vasilyeva et al. (2019) conducted a review in Pulmonary arterial hypertension (PAH). Physical rehabilitation was evaluated. Physical rehabilitation programs improve exercise capacity, quality of life, muscle function, and pulmonary circulation in clinically stable patients with pulmonary arterial hypertension.
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