[Exercise therapy for chronic heart failure].
Increased mortality and impaired exercise tolerance is the two major clinical problems in patients with chronic heart failure(CHF). In addition, for many years, bed rest has been recommended for patients with CHF. However, in the last decade, exercise training has been shown to improve exercise capacity, quality of life, and event-free survival in patients with CHF. Furthermore, exercise training improves autonomic nerve function and vascular endothelial function in these patients. Based on these lines of evidence, clinical practice guidelines of exercise therapy for CHF have recently been published. More effort should be made to establish the optimal exercise prescription and to increase the implementation of exercise training as a non-pharmacologic therapy for CHF.
Goto
Yoichi
Y
Division of Cardiology, Department of Medicine, National Cardiovascular Center.
D017776:Autonomic Pathways / Q000503:physiopathology; D002908:Chronic Disease; D000075202:Contraindications; D005081:Exercise Therapy / Q000379:methods; D017079:Exercise Tolerance; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011788:Quality of Life; D016276:Ventricular Function