[Influence of medical treatments on the functional status in patients with chronic cardiac insufficiency].
The discordance frequently observed between the hemodynamic effects of treatment and change in functional status may be explained by the fact that symptoms are related more to the circulatory changes caused by the heart failure than the heart failure itself. This is why angiotensin converting enzyme inhibitors and controlled exercise training improve exercise capacity of patients with chronic cardiac failure more than inotropic agents and direct vasodilator therapy, partly because of their marked beneficial effect on regional blood flow.
Cohen-Solal
A
A
Service de cardiologie, Hôpital Bichat, Paris.
Laperche
T
T
Gourgon
R
R
D002317:Cardiovascular Agents / Q000494:pharmacology / Q000627:therapeutic use*; D002908:Chronic Disease; D006333:Heart Failure / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D005082:Physical Exertion
D002317:Cardiovascular Agents
Influence des traitements médicaux sur l'aptitude fonctionnelle des insuffisances cardiaques chroniques.