https://doi.org/10.4081/monaldi.2015.739
Cardiopulmonary rehabilitation in patiens with heart failure and chronic pulmonary disease
Accepted: May 24, 2016
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The epidemiology of chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) are well known. Each of these conditions has an important impact on quality of life and functional status and on healthcare consumption. Through shared risk factors and pathophysiological mechanisms CHF and COPD coexist more frequently than expected from the respective populations observed by the pulmonologist or cardiologist. This has important prognostic and therapeutic implications. Several registry-based studies and post-hoc analyses of large randomized controlled trials evaluating COPD as a comorbidity in CHF outpatients have highlighted the negative prognostic impact of the comorbidity in terms of constraint in use of recommended treatments. Among them, the cardiopulmonary rehabilitation may play a significant role. Even in these patients, in fact, a rehabilitative approach focused on physical training programs can positively impact functional autonomy, exercise tolerance and quality of life.
Riassunto
Attraverso i fattori di rischio condivisi e simili meccanismi fisiopatologici scompenso cardiaco cronico (SCC) e malattia ostruttiva cronica polmonare (BPCO) coesistono più frequentemente di quanto previsto dalle rispettive popolazioni osservate rispettivamente dallo pneumologo o dal cardiologo. Ciò ha importanti implicazioni prognostiche e terapeutiche. Diversi studi basati su registri e analisi post-hoc di ampi studi randomizzati controllati che hanno valutato la BPCO come comorbidità in pazienti con SCC hanno messo in evidenza l'impatto prognostico negativo della comorbilità in termini soprattutto di limitazioni all’utilizzo di trattamenti raccomandati. Tra questi un ruolo non trascurabile spetta alla riabilitazione. Anche in questi pazienti infatti un approccio riabilitativo incentrato su programmi di training fisico può impattare favorevolmente sulla autonomia funzionale, sulla tolleranza allo sforzo e sulla qualità della vita.
How to Cite
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Aqusa Zahid, Nousheen Iqbal, Sarosh Moeen, Muhammad Irfan, Post COVID-19 tuberculosis: An emerging threat of pandemic , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
You may also start an advanced similarity search for this article.
