Exercise-based rehabilitation for heart failure

Abstract

Background Previous systematic reviews and meta-analyses consistently show the positive effect of exercise-based rehabilitation for heart failure (HF) on exercise capacity; however, the direction and magnitude of effects on health-related quality of life, mortality and hospital admissions in HF remain less certain. This is an update of a Cochrane systematic review previously published in 2010. Objectives To determine the effectiveness of exercise-based rehabilitation on the mortality, hospitalisation admissions, morbidity and health-related quality of life for people with HF. Review inclusion criteria were extended to consider not only HF due to reduced ejection fraction (HFREF or 'systolic HF') but also HF due to preserved ejection fraction (HFPEF or 'diastolic HF'). Search methods We updated searches from the previous Cochrane review. We searched the Cochrane Central Register of Controlled Trials (CENTRAL)

Utility of Nutritional Screening in Predicting Short-Term Prognosis of Heart Failure Patients

“…1) Angiotensin-converting enzyme inhibitors and β-blockers are essential components of the treatment regimen for patients with chronic HF. Recently, nonpharmacological therapies, such as cardiac resynchronization therapy (CRT), 2) exercise therapy, 3) and Waon therapy 4) have also been used for the treatment of HF patients. Similarly, various other HF therapy regimens have been developed, and the field is dynamic and progressive.…”

Cardiac Telerehabilitation - Current State and Clinical Perspectives

“…Further Randomized Controlled Trials (RCTs) are needed to confirm short-and long-term efficacy of cardiac telerehabilitation. 1 Current research showed home-based cardiac telerehabilitation as safe and effective in improving short-term exercise capacity, but novel telemonitoring techniques should support also its long-term effects on physical fitness depending on age, gender, etc. 7 Large scale prospective randomized studies should show equal efficacy of the cardiac telerehabilitation compared to the traditional face-to-face rehabilitation programs.…”

“…It can significantly reduce the risk of hospital admissions and improve health-related quality of life, moreover exercise training may reduce mortality in the longer term. 1,2 According to the most secondary cardiovascular prevention guidelines, regular exercise training and rehabilitation obtained the class of recommendation I, level of evidence A (indications with type I A evidence) in heart failure patients. 3,4 It can play a critical role in restoring their quality of life, and maintaining (or improving-where available) functional capacity.…”

Eficácia do treinamento resistido na melhora da capacidade funcional e na qualidade de vida de pacientes com insuficiência cardíaca: uma revisão sistemática e metanálise

“…Cardiometabolic rehabilitation is the main nonpharmacological tool for the clinical management of heart failure (HF) patients 1 . In its scope of activities, physical training, especially resistance training (RT), gained notoriety recently, mainly because of studies that show its benefits in various outcomes.…”