Responses to Arm Exercise in Patients With Compensated Heart Failure

Sj, Keteyian; Cr, Marks; Brawner, Clinton A.; Ab, Levine; Kataoka, Tetsuro; Tb, Levine

doi:10.1097/00008483-199611000-00005

Cited by 14 publications

(4 citation statements)

References 27 publications

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“…5,6 These studies and others [7][8][9][10][11] were welcomed given the continued high mortality 12 and the fact that HF values. This reduction in exercise tolerance, measured as peakVO 2 during a cardiopulmonary exercise test, is observed during both upper and lower extremity activities 15,16 and is due to complex abnormalities in cardiac, pulmonary, peripheral vascular, and skeletal and respiratory muscle function. [17][18][19][20][21][22][23] Since 1990, composite results from 31 single-site clinical exercise trials indicate that regular aerobictype exercise reverses, in part, this reduction in exercise capacity.…”

Section: Hf-actionmentioning

confidence: 99%

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

Keteyian

Piña

Hibner

et al. 2010

Journal of Cardiopulmonary Rehabilitation and Prevention

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Prior exercise research and the recently completed HF-ACTION (Heart Failure and A Controlled Trial Investigating Outcomes of Exercise Training) trial indicate that regular exercise represents an effective therapy in the management of patients with stable chronic heart failure (HF) due to left ventricular systolic dysfunction. This review summarizes the results from these studies and provides a guide for prescribing exercise. Regular aerobic-type exercise training improves exercise capacity; does not worsen and may, in fact, mildly improve cardiac function; and partially improves other physiological abnormalities that develop because of chronic HF (eg, autonomic and skeletal muscle function). Regular exercise is safe, improves health status, and modestly reduces ( approximately 15%) combined risk for cardiovascular death or HF-related hospitalization. Even greater physiological and clinical benefits appear likely in patients with HF who adhere to a higher volume of exercise (eg, 6 MET-hr per week). The exercise regimen should include an aerobic-type activity performed at least 30 minutes, 5 or more days per week, and at an intensity approximating 55% to 80% of heart rate reserve. Resistance training should be considered for patients who first demonstrate they are able to tolerate aerobic exercise training. Common to other interventions that also rely on human behavior, long-term adherence to exercise in patients with HF remains a challenge and requires additional research to determine strategies aimed at improving compliance. Areas of needed research include identifying which patient subgroup(s) benefits the most and determination of the optimal intensity, duration, and frequency of exercise needed to maximize clinical benefits and attenuate fatigue.

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Section: Hf-actionmentioning

confidence: 99%

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

Keteyian

Piña

Hibner

et al. 2010

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Summary of exercise prescription for patients with heart failure 55%-80% of HRR; ratings of perceived exertion at[11][12][13][14] for patients where HRR a method is inadequate (eg, atrial fibrillation) 50%-70% of 1 RM for lifts involving the hips and lower body; 40%-70% of 1 RM for lifts involving the upper body -sec eccentric); rest to work ratio ≥ 2 to 1 a Heart rate reserve (HRR) is computed as (peak heart rate-seated resting heart rate) × training level expressed as a percent + seated resting heart rate…”

mentioning

confidence: 99%

Exercise in the Management of Patients with Chronic Heart Failure

Keteyian

2010

Curr Heart Fail Rep

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Despite the establishment of feasibility and physiologic benefits, questions remained about the safety and clinical effectiveness of physical exercise in patients with heart failure. In 2002, however, the Heart Failure: A Controlled Trial Investigating Outcomes of Exercise Training trial showed that physical exercise is safe, improves health status, increases cardiorespiratory capacity, and yields a modest reduction in clinical events among patients with HF. The magnitude of these benefits may relate to the volume of exercise completed.

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“…Two common complaints from patients with chronic HF are early fatigue and a reduced exercise capacity, the latter often approaching 50% of age-matched healthy controls [14,15]. This reduction in exercise tolerance, measured as peak VO 2 during a cardiopulmonary exercise test, is due to abnormalities in both cardiovascular and skeletal muscle function [16][17][18][19][20][21].…”

Section: Exercise Capacitymentioning

confidence: 99%

Role and benefits of exercise in the management of patients with heart failure

et al. 2010

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Initial research established the feasibility of exercise training in patients with heart failure, as well as associated physiological benefits. This review summarizes the findings from over two dozen single-site studies that address the effect of exercise training on exercise capacity and cardiovascular and peripheral function. In addition, it incorporates the results from two meta-analyses and a recently completed multi-center trial, all of which studied the effects of exercise training on clinical outcomes. The major conclusions from these studies are that exercise training is safe; improves health status and exercise capacity; helps attenuate much of the abnormal pathophysiology that develops with heart failure; and yields a modest reduction in clinical events. The magnitude of the clinical benefits appears related to the volume of exercise completed. Future research is needed to identify which patient subgroups might benefit the most from exercise training, the optimal exercise dose or load needed to lessen disease-related symptoms and maximize clinical benefit, and the effects of exercise training in patients with heart failure and preserved left ventricular systolic function.

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Responses to Arm Exercise in Patients With Compensated Heart Failure

Cited by 14 publications

References 27 publications

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

Exercise in the Management of Patients with Chronic Heart Failure

Role and benefits of exercise in the management of patients with heart failure

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