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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Physical Training and Cardiac Rehabilitation in Heart Failure Patients
1Department of Clinical and Experimental Medicine - Cardiology Unit, University Hospital Medical School "Gaetano Martino", Messina, Italy. cdegregorio@unime.it.
Insights
Cardiac rehabilitation (CR) is crucial for cardiovascular disease (CVD) patients but underutilized. Combining exercise with risk factor control improves outcomes and reduces hospitalizations for heart failure.
Area of Science:
- Cardiology
- Preventive Medicine
- Exercise Physiology
Background:
- Despite advances in cardiovascular disease (CVD) treatments, patient enrollment in cardiac rehabilitation (CR) remains low.
- Increased survival from acute events leads to a growing global burden of chronic heart failure.
- Secondary prevention strategies are underutilized, even in high-income nations, highlighting a gap in patient care.
Purpose of the Study:
- To review current evidence on cardiac rehabilitation (CR) training modalities for heart failure patients.
- To discuss the potential benefits of CR in managing heart failure and improving patient outcomes.
- To emphasize the importance of integrated approaches combining exercise and risk factor control.
Main Methods:
- Review of recent scientific literature on exercise-based cardiac rehabilitation.
- Analysis of training models and their effects on cardiovascular patients.
- Discussion of confounding factors such as lifestyle, psychosocial challenges, and patient compliance.
Main Results:
- Exercise-based training is a fundamental aspect of primary and secondary CVD prevention.
- Combined interventions including regular exercise improve metabolic and hemodynamic conditions.
- Evidence suggests CR benefits extend to heart failure patients, despite varied training protocols.
Conclusions:
- Cardiac rehabilitation (CR) is essential for managing cardiovascular disease (CVD) and heart failure.
- Integrated strategies combining medical treatment, exercise, and risk factor control are vital.
- Further research into standardized CR protocols may enhance its effectiveness and patient adherence.
Abstract:
Regardless of advances in medical and interventional treatment of cardiovascular disease (CVD), a limited number of patients attend a cardiac rehabilitation (CR) programme on a regular basis. Due to modern therapies more individuals will be surviving an acute cardiovascular event, but the expected burden of chronic heart failure will be increasing worldwide.However, both in high- and low-income countries, secondary prevention after an acute myocardial infarction or stroke has been implemented in less than a half of eligible patients.Combined interventions are still needed to reduce decompensations, hospitalizations and mortality in heart failure patients from any origin. In addition to medical treatments, regular exercise has been demonstrated to improve metabolic and hemodynamic conditions in both asymptomatic risk factor carriers and cardiac patients. Risk factor control and exercise should gather together for an effective management of patients.Exercise-based training is a core component of primary and secondary prevention. It should involve healthy carriers of cardiovascular risk factors, and patients with cardiomyopathy as well. The supposed attenuated effect of CR in the era of advanced revascularization and structural interventions is due to the heterogeneity of training models and physical training in the literature. Moreover, lifestyle modification, psycho-social challenges and patient's compliance are potential confounders.In this chapter the most recent evidences about training modalities and potential benefit of CR in heart failure patients are discussed.
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