Exercise Training in Group 2 Pulmonary Hypertension: Which Intensity and What Modality

Arena, Ross; Lavie, Carl J.; Borghi‐Silva, Audrey; Daugherty, John; Bond, Samantha; Phillips, Shane A.; Guazzi, Marco

doi:10.1016/j.pcad.2015.11.005

Cited by 16 publications

(11 citation statements)

References 61 publications

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“…Training programmes that have been investigated in HF include moderate-intensity aerobic exercise training, high-intensity aerobic interval exercise training, resistance exercise training, and inspiratory muscle training. 27 Summary of different exercise training programmes are shown in Table 2.…”

Section: Chronic Effects Of Exercise Training For Heart Failure Patie...mentioning

confidence: 99%

Acute and chronic exercise training in patients with Class II pulmonary hypertension: effects on haemodynamics and symptoms

Lunardi

Serruys

et al. 2022

ESC Heart Failure

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More than half of heart failure (HF) patients have concomitant pulmonary hypertension, impacting symptoms and prognosis. The role of exercise in this category of patients is still unclear, probably because of the lack of a clear relationship between exercise and acute and chronic pulmonary artery pressure variations and related changes in symptoms. The limited evidence on this topic is contradictory and hardly comparable due to use of different exercise programmes and pulmonary artery pressure assessment techniques. This is further compounded by different functional and structural classes of HF making definite assessments and interpretations of exercise effect on outcomes difficult. Exercise training programmes were proven beneficial in HF patients; however, the lack of data about their pulmonary haemodynamic effects prevents clear indications on the best exercise types for patients presenting secondary pulmonary hypertension and different HF categories. Indeed, some data suggest that not all HF patients have similar responses to training, leading to either beneficial or detrimental effects, depending on the HF type. Future studies, involving modern technologies such as continuous pulmonary artery pressure monitoring implantable devices, may clarify the current gaps in this field, aiming at patient-tailored exercise training rehabilitation programmes, in order to improve clinical outcomes, quality of life, and hopefully prognosis.

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Section: Chronic Effects Of Exercise Training For Heart Failure Patie...mentioning

confidence: 99%

Acute and chronic exercise training in patients with Class II pulmonary hypertension: effects on haemodynamics and symptoms

Lunardi

Serruys

et al. 2022

ESC Heart Failure

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“…Therefore, simple, inexpensive treatments with vigorous non-pharmacologic therapy are needed to promote better prevention and treatment of CVD. Certainly, articles in this journal, Progress in Cardiovascular Diseases (PCVD), have emphasized non-pharmacologic strategies in recent years, including dietary therapy (1-3), and particularly, physical activity and exercise training to increase levels of cardiorespiratory fitness (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), with potential to produce very marked reductions in CVD events and to reduce CVD-and all-cause mortality. Most of the PCVD Issues deal with complicated issues regarding the diagnosis and treatment of patients with, or at risk for, CVD.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Dietary prevention of cardiovascular diseases

Sievenpiper

Lavie²

2018

Progress in Cardiovascular Diseases

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“…The SF-36 physical component score improved by 4.63 points (95% CI 0.80 to 8.47), but this was not considered clinically important. Few studies have tested exercise rehabilitation for PH secondary to cardiac and pulmonary disease (groups 2 & 3) [18,19].…”

Section: Introductionmentioning

confidence: 99%

Supervised pulmonary hypertension exercise rehabilitation (SPHERe): study protocol for a multi-centre randomised controlled trial

et al. 2020

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Background: Supervised cardio-pulmonary rehabilitation may be safe and beneficial for people with pulmonary hypertension (PH) in groups 1 (pulmonary arterial hypertension) and 4 (chronic thromboembolic disease), particularly as a hospital in-patient. It has not been tested in the most common PH groups; 2 (left heart disease), 3 (lung disease), or 5 (other disorders). Further it has not been evaluated in the UK National Health Service (NHS) outpatient setting, or with long-term follow-up. The aim of this randomised controlled trial (RCT) is to test the clinical and cost-effectiveness of a supervised exercise rehabilitation intervention with psychosocial support compared to best practice usual care for people with PH in the community/outpatient setting.

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Exercise Training in Group 2 Pulmonary Hypertension: Which Intensity and What Modality

Cited by 16 publications

References 61 publications

Acute and chronic exercise training in patients with Class II pulmonary hypertension: effects on haemodynamics and symptoms

Acute and chronic exercise training in patients with Class II pulmonary hypertension: effects on haemodynamics and symptoms

Dietary prevention of cardiovascular diseases

Supervised pulmonary hypertension exercise rehabilitation (SPHERe): study protocol for a multi-centre randomised controlled trial

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