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Exercise training in patients with chronic heart failure: A new challenge for Cardiac Rehabilitation Community

Francesco Giallauria, Lucrezia Piccioli, Giuseppe Vitale, Filippo M. Sarullo
  • Lucrezia Piccioli
    Federico II University of Naples, Department of Translational Medical Sciences, Italy
  • Giuseppe Vitale
    "Buccheri La Ferla Fatebenefratelli” Hospital, Cardiovascular Rehabilitation Unit, Italy
  • Filippo M. Sarullo
    "Buccheri La Ferla Fatebenefratelli” Hospital, Cardiovascular Rehabilitation Unit, Italy

Abstract

Exercise training (ET) is strongly recommended in patients with chronic stable heart failure (HF). Moderate-intensity aerobic continuous ET is the best established training modality in HF patients. In the last decade, however, high-intensity interval exercise training (HIIT) has aroused considerable interest in cardiac rehabilitation community. In HF patients, HIIT exerts larger improvements in exercise  capacity compared to moderate-continuous ET. Since better functional capacity translates into symptoms relief and improvement in quality of life in patients with HF, this training modality is collecting growing interest and consensus, not revealing major safety issues. HIIT should not replace other training modalities in HF but should rather complement them. Inspiratory muscle training, another promising training modality in patients with HF, exerts beneficial effect on inspiratory muscle strength and inspiratory endurance, on exercise capacity and quality of life. In conclusion, taking into consideration the complecity of HF syndrome, combining and tailoring different ET modalities according to each patient’s baseline clinical characteristics (i.e. exercise capacity, comorbidity, frailty status, personal needs, preferences and goals) seem the most wily approach for exercise prescription.

Keywords

Moderate-intensity aerobic continuous exercise training; high-intensity interval training; inspiratory muscle training; chronic heart failure; cardiac rehabilitation; exercise prescription.

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Submitted: 2018-08-10 20:39:28
Published: 2018-09-06 10:21:05
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Copyright (c) 2018 Francesco Giallauria, Lucrezia Piccioli, Giuseppe Vitale, Filippo M. Sarullo

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