Cardiac Rehabilitation Outcomes in Women With Chronic Heart Failure

Abstract

Women with heart failure demonstrate similar patterns of improvement during cardiac rehabilitation compared with men and, in fact, show greater improvements in fitness and longer term exercise levels. Low to moderate intensity cardiac rehabilitation is both safe and effective in this group.

A classe da NYHA tem relação com a condição funcional e qualidade de vida na insuficiência cardíaca

“…It applied a form of standardized assessment, spirometry, manovacuometry, of the six minute walk test (6MWT) and questioning the quality of life Short-Form 36 (SF-36 5,6 . A partir da diminuição do débito cardíaco e da fração de ejeção, a IC causa baixa tolerância aos exercícios com acentuadas respostas metabólicas e respiratórias 7 , o que leva o sujeito à inatividade, ocasionando atrofia muscular que está associada à fadiga e ao decréscimo na força muscular [8][9][10] .…”

Gender and age-dependent differences in body composition changes in response to cardiac rehabilitation exercise training in patients after coronary artery bypass grafting

“…Furthermore, in men < 65 years participating in rehabilitation gymnastics there was a significant increase in the percentage of BCM, an indicator of muscle mass development. Also, studies of patients with heart failure conducted by [6] show that women at the age of 60 present similar patterns of improvement during CR when compared with men. Hospital CR programmes are particularly valuable for patients of an advanced age, who are not yet ready to be discharged following serious cardiac function disorders [17].…”

“…The most commonly mentioned include dyslipidaemia, hypertension, endothelial dysfunction, diabetes and smoking. The majority of these factors indicate a tendency to occur with disorders in body composition, excess weight and obesity, significantly associated with lack of physical activity [3,4,5,6]. Obesity is a known risk factor for cardiovascular disease, but also muscle mass deficiency, the main component of fat free mass (FFM), is an independent risk factor in patients with CHD.…”

“…Its basic aim is to combat CHD risk factors through physical activity and normalization of body mass [6,7]. Expanded CR following cardiac arrest or CABG reduces morbidity and hospitalization periods due to cardiovascular reasons.…”

Women-Specific Factors to Consider in Risk, Diagnosis and Treatment of Cardiovascular Disease

“…Cardiac rehabilitation is a successful treatment for both sexes, but may be more beneficial for women than men [174]. Cardiac resynchronization therapy is also more successful in women, including the ability to decrease all-cause mortality [175-178].…”