Benefits of Cardiac Rehabilitation in Heart Failure Patients According to Etiology

Koukoui, François; Desmoulin, Franck; Lairy, Gérard; Bleinc, D; Boursiquot, L.; Galinier, Michel; Smih, Fatima; Rouet, Philippe

doi:10.1097/md.0000000000000544

Cited by 17 publications

(15 citation statements)

References 42 publications

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“…Moreover, the largest proportion of our training-participants reported ischemic HF etiology. This could be of special importance, since a recent study suggested that cardiac adaptation during outpatient rehabilitation is more prominent in HF patients with non-ischemic etiology [ 49 ]. Furthermore, our results are in line with a recent meta-analysis that could not confirm that HIT is superior to CT to induce cardiac adaptations [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of High-Intensity Interval Training versus Continuous Training on Physical Fitness, Cardiovascular Function and Quality of Life in Heart Failure Patients

Benda¹,

Seeger

Stevens³

et al. 2015

PLoS ONE

104

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IntroductionPhysical fitness is an important prognostic factor in heart failure (HF). To improve fitness, different types of exercise have been explored, with recent focus on high-intensity interval training (HIT). We comprehensively compared effects of HIT versus continuous training (CT) in HF patients NYHA II-III on physical fitness, cardiovascular function and structure, and quality of life, and hypothesize that HIT leads to superior improvements compared to CT.MethodsTwenty HF patients (male:female 19:1, 64±8 yrs, ejection fraction 38±6%) were allocated to 12-weeks of HIT (10*1-minute at 90% maximal workload—alternated by 2.5 minutes at 30% maximal workload) or CT (30 minutes at 60–75% of maximal workload). Before and after intervention, we examined physical fitness (incremental cycling test), cardiac function and structure (echocardiography), vascular function and structure (ultrasound) and quality of life (SF-36, Minnesota living with HF questionnaire (MLHFQ)).ResultsTraining improved maximal workload, peak oxygen uptake (VO2peak) related to the predicted VO2peak, oxygen uptake at the anaerobic threshold, and maximal oxygen pulse (all P<0.05), whilst no differences were present between HIT and CT (N.S.). We found no major changes in resting cardiovascular function and structure. SF-36 physical function score improved after training (P<0.05), whilst SF-36 total score and MLHFQ did not change after training (N.S.).ConclusionTraining induced significant improvements in parameters of physical fitness, although no evidence for superiority of HIT over CT was demonstrated. No major effect of training was found on cardiovascular structure and function or quality of life in HF patients NYHA II-III.Trial RegistrationNederlands Trial Register NTR3671

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Section: Discussionmentioning

confidence: 99%

Effects of High-Intensity Interval Training versus Continuous Training on Physical Fitness, Cardiovascular Function and Quality of Life in Heart Failure Patients

Benda¹,

Seeger

Stevens³

et al. 2015

PLoS ONE

104

View full text Add to dashboard Cite

show abstract

“…Previous studies showed that LVEF and NT-proBNP levels were correlated with cardiac function. [ 40 , 41 ] Even though NT-proBNP (172.92 ± 62.79 vs 431.13 ± 95.46 pg/ml; P = 0.059) had no significant difference between the 2 groups, NT-proBNP significantly inversely correlated with 6MWD ( R = −0.539, P < 0.001). The present study showed that there was no significant difference in the hemodynamic parameters measured by ICG between the 2 groups.…”

Section: Discussionmentioning

confidence: 97%

Values of hemodynamic variation in response to passive leg raising in predicting exercise capacity of heart failure with preserved ejection fraction

Zhou

Ding²,

Mi³

et al. 2016

Medicine

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In heart failure patients with preserved ejection fraction, their hemodynamic parameters usually change when they are from recumbent to passive leg raising. The authors designed this study to investigate the relationship between hemodynamic parameters measured by impedance cardiography (ICG) and 6-minute walk distance (6MWD) of heart failure with preserved ejection fraction (HFPEF). We recruited 49 subjects with HFPEF in the study, and all the subjects were separated into 2 groups: the patients whose hemodynamic parameters rose after passive leg raising were in group 1 (n = 26) and the patients whose hemodynamic parameters did not rise after passive leg raising were in group 2 (n = 23). Our study then compared the 6MWD, left ventricular ejection fraction, and plasma NT-pro-brain natriuretic peptide between the 2 groups. Group 1 had significantly longer 6MWD than group 2 (515.38 ± 24.97 vs 306.39 ± 20.20 m; P = 0.043). Hemodynamic parameters measured by ICG significantly correlated with 6MWD in both groups. Patients whose hemodynamic parameters rose in response to passive leg raising were more likely to have better exercise capacity. Hemodynamic variation in response to passive leg raising measured by ICG may be more sensitive in predicting exercise capacity of patients with HFPEF.

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“…In acquired heart disease there is extensive evidence to encourage patients to pursue a healthy lifestyle [84,85]. The role of cardiac rehabilitation programs in heart failure is instrumental in optimizing habits in nutrition, activity and smoking cessation, increasing physical fitness, and improving quality of life and symptoms [86,87].…”

Section: Rehabilitation and Lifestylementioning

confidence: 99%

Heart failure in congenital heart disease: management options and clinical challenges

Leusveld

Kauling

Geenen

et al. 2020

Expert Review of Cardiovascular Therapy

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Introduction: The population of adults with congenital heart disease (ACHD) is rapidly expanding and one of the major complications is heart failure. Timely diagnosis and treatment are crucial, but strong evidence for effectiveness of heart failure treatment in ACHD is currently lacking. Components of the medical history, physical examination, and further diagnostic tests including ECG, echocardiography, cardiac magnetic resonance imaging, exercise testing, and biomarkers can identify patients at risk for early mortality or heart failure. Areas covered: Although the number of studies guiding evidence-based treatment are expanding, many clinical questions have not been completely answered yet. Therefore, in this review we provide an overview of current available insights in epidemiology, diagnosis, risk stratification, and treatment options in ACHD patients, including non-medical therapies and advanced care planning. Expert opinion: We strongly advocate expanding current use of biomarkers in the diagnostic process and timely initiation of discussing advanced treatment options and advanced care planning with patients and their loved ones. More research in multi-center collaborations is needed to study all aspects of care of adult congenital heart disease patients.

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Benefits of Cardiac Rehabilitation in Heart Failure Patients According to Etiology

Abstract: Supplemental Digital Content is available in the text

Cited by 17 publications

References 42 publications

Effects of High-Intensity Interval Training versus Continuous Training on Physical Fitness, Cardiovascular Function and Quality of Life in Heart Failure Patients

Effects of High-Intensity Interval Training versus Continuous Training on Physical Fitness, Cardiovascular Function and Quality of Life in Heart Failure Patients

Values of hemodynamic variation in response to passive leg raising in predicting exercise capacity of heart failure with preserved ejection fraction

Heart failure in congenital heart disease: management options and clinical challenges

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