运动与心力衰竭：知识进步与护理改善
Exercise And Heart Failure: Advancing Knowledge And Improving Care.
作者信息
Alvarez Paulino, Hannawi Bashar, Guha Ashrith
机构信息
Houston Methodist Hospital, Houston, Texas.
出版信息
Methodist Debakey Cardiovasc J. 2016 Apr-Jun;12(2):110-5. doi: 10.14797/mdcj-12-2-110.
Abstract
Exercise limitation is the hallmark of heart failure, and an increasing degree of intolerance is associated with poor prognosis. Objective evaluation of functional class (e.g., cardiopulmonary exercise testing) is essential for adequate prognostication in patients with advanced heart failure and for implementing an appropriate exercise training program. A graded exercise program has been shown to be beneficial in patients with heart failure and has become an essential component of comprehensive cardiac rehabilitation in these patients. An exercise program tailored to the patient's preferences, possibilities, and physiologic reserve has the greatest chance of being successful. Despite being safe, effective, and a guideline-recommended treatment to improve quality of life, exercise training remains grossly underutilized. Patient, physician, insurance and practice barriers need to be addressed to improve this quality gap.
摘要
运动耐力受限是心力衰竭的标志，而不耐受程度的增加与预后不良相关。对功能分级进行客观评估（如心肺运动试验）对于晚期心力衰竭患者进行充分的预后评估以及实施适当的运动训练计划至关重要。分级运动计划已被证明对心力衰竭患者有益，并已成为这些患者全面心脏康复的重要组成部分。根据患者的偏好、可能性和生理储备量身定制的运动计划成功的机会最大。尽管运动训练安全、有效且是指南推荐的改善生活质量的治疗方法，但仍未得到充分利用。需要解决患者、医生、保险和实践方面的障碍，以缩小这一质量差距。
相似文献
1
Exercise And Heart Failure: Advancing Knowledge And Improving Care.
Methodist Debakey Cardiovasc J. 2016 Apr-Jun;12(2):110-5. doi: 10.14797/mdcj-12-2-110.
2
Exercise-Based Cardiac Rehabilitation Programs in Heart Failure Patients.
Heart Fail Clin. 2021 Apr;17(2):263-271. doi: 10.1016/j.hfc.2021.01.007. Epub 2021 Feb 12.
3
Effects of combined exercise training and electromyostimulation treatments in chronic heart failure: A prospective multicentre study.
Eur J Prev Cardiol. 2017 Aug;24(12):1274-1282. doi: 10.1177/2047487317712601. Epub 2017 Jun 1.
4
Cardiopulmonary exercise capacity and quality of life of patients with heart failure undergoing a functional training program: study protocol for a randomized clinical trial.
BMC Cardiovasc Disord. 2020 Apr 25;20(1):200. doi: 10.1186/s12872-020-01481-6.
5
Getting to the Heart of the Matter: What is the Landscape of Exercise Rehabilitation for People With Heart Failure in Australia?
Heart Lung Circ. 2018 Nov;27(11):1350-1356. doi: 10.1016/j.hlc.2017.08.016. Epub 2017 Sep 25.
6
The effect of group-based cardiac rehabilitation models on the quality of life and exercise capacity of patients with chronic heart failure.
Hellenic J Cardiol. 2017 Nov-Dec;58(6):432-435. doi: 10.1016/j.hjc.2017.04.003. Epub 2017 Apr 23.
7
Exercise Dosing and Prescription-Playing It Safe: Dangers and Prescription.
Adv Exp Med Biol. 2017;1000:357-387. doi: 10.1007/978-981-10-4304-8_19.
8
Exercise based evaluations and rehabilitation in heart failure: An addendum to the Cardiology Society of India's management protocols for chronic heart failure.
Indian Heart J. 2018 May-Jun;70(3):459-461. doi: 10.1016/j.ihj.2018.04.007. Epub 2018 May 4.
9
Heart Failure: Exercise-Based Cardiac Rehabilitation: Who, When, and How Intense?
Can J Cardiol. 2016 Oct;32(10 Suppl 2):S382-S387. doi: 10.1016/j.cjca.2016.06.001. Epub 2016 Jun 6.
10
Cardiac Rehabilitation for Patients With Heart Failure: JACC Expert Panel.
J Am Coll Cardiol. 2021 Mar 23;77(11):1454-1469. doi: 10.1016/j.jacc.2021.01.030.
引用本文的文献
1
Skeletal Muscle as a Mediator of Interorgan Crosstalk During Exercise: Implications for Aging and Obesity.
Circ Res. 2025 May 23;136(11):1407-1432. doi: 10.1161/CIRCRESAHA.124.325614. Epub 2025 May 22.
2
Heart failure and obesity: Translational approaches and therapeutic perspectives. A scientific statement of the Heart Failure Association of the ESC.
Eur J Heart Fail. 2025 Jul;27(7):1273-1293. doi: 10.1002/ejhf.3676. Epub 2025 May 6.
3
Feasibility of a physical exercise intervention for patients on a palliative care unit: a critical analysis.
BMC Palliat Care. 2024 Feb 28;23(1):58. doi: 10.1186/s12904-024-01388-5.
4
Effect of High-Intensity Interval Training on Exercise Capacity, Blood Pressure, and Autonomic Responses in Patients With Hypertension: A Systematic Review and Meta-analysis.
Sports Health. 2023 Jul-Aug;15(4):571-578. doi: 10.1177/19417381221139343. Epub 2022 Dec 18.
5
Actual status and future directions of cardiac telerehabilitation.
Cardiol J. 2023;30(1):12-23. doi: 10.5603/CJ.a2022.0104. Epub 2022 Nov 17.
6
Exercise: a molecular tool to boost muscle growth and mitochondrial performance in heart failure?
Eur J Heart Fail. 2022 Feb;24(2):287-298. doi: 10.1002/ejhf.2407. Epub 2022 Jan 9.
7
Aerobic exercise improves cardiac function in rats with chronic heart failure through inhibition of the long non-coding RNA metastasis-associated lung adenocarcinoma transcript 1 (MALAT1).
Ann Transl Med. 2021 Feb;9(4):340. doi: 10.21037/atm-20-8250.
8
Inspiratory Muscle Training at Different Intensities in Heart Failure: Are There Differences in Central Hemodynamic Changes?
Arq Bras Cardiol. 2020 Apr;114(4):664-665. doi: 10.36660/abc.20200162. Epub 2020 May 29.
9
Development of Cognitive and Physical Exercise Systems, Clinical Recordings, Large-Scale Data Analytics, and Virtual Coaching for Heart Failure Patients: Protocol for the BioTechCOACH-ForALL Project.
JMIR Res Protoc. 2020 May 4;9(5):e17714. doi: 10.2196/17714.
10
Exploring the impact of sleep and stress on daily physical activity of cardiac patients: a preliminary study.
Hippokratia. 2019 Jan-Mar;23(1):15-20.
本文引用的文献
1
Variables Measured During Cardiopulmonary Exercise Testing as Predictors of Mortality in Chronic Systolic Heart Failure.
J Am Coll Cardiol. 2016 Feb 23;67(7):780-9. doi: 10.1016/j.jacc.2015.11.050.
2
Temporal Trends and Factors Associated With Cardiac Rehabilitation Referral Among Patients Hospitalized With Heart Failure: Findings From Get With The Guidelines-Heart Failure Registry.
J Am Coll Cardiol. 2015 Aug 25;66(8):917-26. doi: 10.1016/j.jacc.2015.06.1089.
3
Accuracy and Usability of a Self-Administered 6-Minute Walk Test Smartphone Application.
Circ Heart Fail. 2015 Sep;8(5):905-13. doi: 10.1161/CIRCHEARTFAILURE.115.002062. Epub 2015 Aug 17.
4
Exercise-based rehabilitation for heart failure: systematic review and meta-analysis.
Open Heart. 2015 Jan 28;2(1):e000163. doi: 10.1136/openhrt-2014-000163. eCollection 2015.
5
Heart disease and stroke statistics--2015 update: a report from the American Heart Association.
Circulation. 2015 Jan 27;131(4):e29-322. doi: 10.1161/CIR.0000000000000152. Epub 2014 Dec 17.
6
Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials.
Circ Heart Fail. 2015 Jan;8(1):33-40. doi: 10.1161/CIRCHEARTFAILURE.114.001615. Epub 2014 Nov 16.
7
Implications of coronary artery disease in heart failure with preserved ejection fraction.
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt A):2817-27. doi: 10.1016/j.jacc.2014.03.034. Epub 2014 Apr 23.
8
Fatigue as a predictor of outcome in patients with heart failure: analysis of CORONA (Controlled Rosuvastatin Multinational Trial in Heart Failure).
JACC Heart Fail. 2014 Apr;2(2):187-97. doi: 10.1016/j.jchf.2014.01.001.
9
Cardiac rehabilitation exercise and self-care for chronic heart failure.
JACC Heart Fail. 2013 Dec;1(6):540-7. doi: 10.1016/j.jchf.2013.09.002. Epub 2013 Oct 24.
10
Is exercise training safe and beneficial in patients receiving left ventricular assist device therapy?
J Cardiopulm Rehabil Prev. 2014 Jul-Aug;34(4):233-40. doi: 10.1097/HCR.0000000000000050.
Zotero 插件