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Contraindications to physical training in patients with impaired ventricular function
J J Kellermann1, J Shemesh, E Ben-Ari
1Hermann Mayer Cardiac Rehabilitation Institute, Tel Hashomer, Israel.
European Heart Journal
|April 1, 1988
Summary
Patients with impaired ventricular function can improve exercise capacity and quality of life through supervised training. Contraindications for exercise therapy are similar to those with normal function, but caution is advised for specific conditions.
Area of Science:
- Cardiology
- Exercise Physiology
Background:
- Exercise performance in patients with ventricular dysfunction is not well correlated with dysfunction severity.
- Patients with impaired ventricular function can achieve significant work capacity with physiological responses similar to those without dysfunction.
Purpose of the Study:
- To evaluate the benefits of supervised physical training programs for patients with ventricular dysfunction.
- To determine contraindications for exercise therapy in patients with coronary artery disease and impaired ventricular function.
Main Methods:
- Review of historical and anecdotal trials on exercise therapy in patients with ventricular impairment.
- Analysis of physiological variables during exercise in patients with and without ventricular dysfunction.
Main Results:
- Supervised physical training can improve functional capacity and quality of life in patients with pump dysfunction.
- Absolute contraindications for exercise therapy in this group are similar to those with normal ventricular function.
- Special attention is needed for patients with chronotropic incompetence, abnormal blood pressure response, or inadequate stroke volume elevation during exercise.
Conclusions:
- Exercise therapy can be beneficial for patients with ventricular impairment, but recommendations should be made with caution due to limited evidence.
- Further research with larger patient groups and prolonged follow-up is necessary to establish definitive evidence on the benefits and risks of exercise therapy.
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