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Aerobic training and angiogenesis activation in patients with stable chronic heart failure: a preliminary report
Ermanno Eleuteri1, Alessandro Mezzani, Antonino Di Stefano
1Divisione di Cardiologia Riabilitativa, Fondazione Salvatore Maugeri, IRCCS, Veruno, NO, Italy. ermanno.eleuteri@fsm.it
Abstract:
The pathophysiology of chronic heart failure (CHF) involves multiple hystologic and molecular alterations. To determine the effects of physical training on circulating endothelial progenitor cells (EPCs), angiogenesis (angiogenin, angiopoietin-1 and -2, VEGF, Tie-2, SDF-1α) and inflammation (IL-6, CRP), we compared data obtained from 11 CHF pts before and after 3 months aerobic exercise training, to those from 10 non trained CHF pts (CHF-C group, age 64 + 2 years, NYHA 2). At the end of the study, EPCs count and AP-2 serum levels significantly increased in the CHF-TR group. These preliminary data suggest a significant effect of even a short program of physical training on angiogenic activation and endothelial dysfunction.
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