Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation

被引：551

作者：

Piepoli, Massimo F. ^{[1
]}

Conraads, Viviane ^{[2
]}

Corra, Ugo ^{[3
]}

Dickstein, Kenneth ^{[4
,5
]}

Francis, Darrel P. ^{[6
]}

Jaarsma, Tiny ^{[7
]}

McMurray, John ^{[8
]}

Pieske, Burkert ^{[9
]}

Piotrowicz, Ewa ^{[10
]}

Schmid, Jean-Paul ^{[11
,12
]}

Anker, Stefan D. ^{[13
]}

Solal, Alain Cohen ^{[14
]}

Filippatos, Gerasimos S. ^{[15
]}

Hoes, Arno W. ^{[16
]}

Gielen, Stefan ^{[17
]}

Giannuzzi, Pantaleo ^{[3
]}

Ponikowski, Piotr P. ^{[18
]}

机构：

[1] Guglielmo da Saliceto Hosp, Heart Failure Unit, Dept Cardiac, I-29100 Piacenza, Italy

[2] Univ Antwerp Hosp, Dept Cardiol & Cardiac Rehabil, B-2650 Edegem, Belgium

[3] IRCCS Fdn S Maugeri, Ctr Med Riabil, Div Cardiol, Veruno, Italy

[4] Stavanger Univ Hosp, Stavanger, Norway

[5] Univ Bergen, Inst Internal Med, Bergen, Norway

[6] Imperial Coll London, Int Ctr Circulatory Hlth, Natl Heart & Lung Inst, London, England

[7] Linkoping Univ, Dept Social & Welf Studies, S-58183 Linkoping, Sweden

[8] Univ Glasgow, Glasgow, Lanark, Scotland

[9] Med Univ Graz, Dept Cardiol, Graz, Austria

[10] Inst Cardiol, Dept Cardiac Rehabil & Noninvas Elect, Warsaw, Poland

[11] Univ Hosp Bern, Div Cardiol, Swiss Cardiovasc Ctr Bern, CH-3010 Bern, Switzerland

[12] Univ Bern, Bern, Switzerland

[13] Charite, Dept Cardiol, D-13353 Berlin, Germany

[14] Hop Beaujon, Dept Cardiol, Paris, France

[15] Atticon Univ Hosp, Univ Dept Cardiol 2, Athens, Greece

[16] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands

[17] Univ Leipzig, Ctr Heart, Leipzig, Germany

[18] Wroclaw Med Univ, Mil Hosp, Dept Heart Dis, Fac Hlth Sci, Wroclaw, Poland

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2011年 / 13卷 / 04期

关键词：

Exercise training; Physical activity; Rehabilitation; Heart failure; QUALITY-OF-LIFE; CARDIAC REHABILITATION; SECONDARY PREVENTION; RESISTANCE EXERCISE; POSITION PAPER; ADHERENCE; BENEFITS; GUIDELINES; CARDIOLOGY; KNOWLEDGE;

D O I：

10.1093/eurjhf/hfr017

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

The European Society of Cardiology heart failure guidelines firmly recommend regular physical activity and structured exercise training (ET), but this recommendation is still poorly implemented in daily clinical practice outside specialized centres and in the real world of heart failure clinics. In reality, exercise intolerance can be successfully tackled by applying ET. We need to encourage the mindset that breathlessness may be evidence of signalling between the periphery and central haemodynamic performance and regular physical activity may ultimately bring about favourable changes in myocardial function, symptoms, functional capacity, and increased hospitalization-free life span and probably survival. In this position paper, we provide practical advice for the application of exercise in heart failure and how to overcome traditional barriers, based on the current scientific and clinical knowledge supporting the beneficial effect of this intervention.

引用

页码：347 / 357

页数：11

共 27 条

[1]

Adherence to exercise training in heart failure: a review [J].

Barbour, Krista A. ;

Miller, Nancy Houston .

HEART FAILURE REVIEWS, 2008, 13 (01) :81-89

[2]

Recommendations for resistance exercise in cardiac rehabilitation. Recommendations of the German Federation for Cardiovascular Prevention and Rehabilitation [J].

Bjarnason-Wehrens, B ;

Mayer-Berger, W ;

Meister, ER ;

Baum, K ;

Hambrecht, R ;

Gielen, S .

EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 2004, 11 (04) :352-361

[3]

Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey [J].

Bjarnason-Wehrens, Birna ;

McGee, Hannah ;

Zwisler, Ann-Dorthe ;

Piepoli, Massimo F. ;

Benzer, Werner ;

Schmid, Jean-Paul ;

Dendale, Paul ;

Pogosova, Nana-Goar V. ;

Zdrenghea, Dumitru ;

Niebauer, Josef ;

Mendes, Miguel .

EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 2010, 17 (04) :410-418

[4]

Executive summary of the Position Paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology (ESC):: core components of cardiac rehabilitation in chronic heart failure [J].

Corrá, U ;

Giannuzzi, P ;

Adamopoulos, S ;

Bjornstad, H ;

Bjarnason-Weherns, B ;

Cohen-Solal, A ;

Dugmore, D ;

Fioretti, P ;

Gaita, D ;

Hambrecht, R ;

Hellermans, I ;

McGee, H ;

Mendes, M ;

Perk, J ;

Saner, H ;

Vanhees, L .

EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 2005, 12 (04) :321-325

[5]

Benefits of cardiac rehabilitation in patients with implantable cardioverter-defibrillators: A patient survey [J].

Davids, JS ;

McPherson, CA ;

Earley, C ;

Batsford, WA ;

Lampert, R .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2005, 86 (10) :1924-1928

[6]

ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008 The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM) [J].

Dickstein, Kenneth ;

Cohen-Solal, Alain ;

Filippatos, Gerasimos ;

McMurray, John J. V. ;

Ponikowski, Piotr ;

Poole-Wilson, Philip Alexander ;

Stromberg, Anna ;

van Veldhuisen, Dirk J. ;

Atar, Dan ;

Hoes, Amo W. ;

Keren, Andre ;

Mebazaa, Alexandre ;

Nieminen, Markku ;

Priori, Silvia Gluliana ;

Swedberg, Karl .

EUROPEAN JOURNAL OF HEART FAILURE, 2008, 10 (10) :933-989

[7]

Gielen S, 2007, CARDIOVASCULAR PREVE, P142

[8]

Gielen Stephan, 2005, Heart Fail Monit, V4, P130

[9]

From best evidence to best practice: effective implementation of change in patients' care [J].

Grol, R ;

Grimshaw, J .

LANCET, 2003, 362 (9391) :1225-1230

[10]

Jaarsma T, 2006, Eur J Cardiovasc Nurs, V5, P197, DOI 10.1016/j.ejcnurse.2006.04.002

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