title: Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation.
abstract: The European Society of Cardiology heart failure guidelines firmly recommend regular physical activity and structured exercise training (ET), but this recommendation is still poorly implemented in daily clinical practice outside specialized centres and in the real world of heart failure clinics. In reality, exercise intolerance can be successfully tackled by applying ET. We need to encourage the mindset that breathlessness may be evidence of signalling between the periphery and central haemodynamic performance and regular physical activity may ultimately bring about favourable changes in myocardial function, symptoms, functional capacity, and increased hospitalization-free life span and probably survival. In this position paper, we provide practical advice for the application of exercise in heart failure and how to overcome traditional barriers, based on the current scientific and clinical knowledge supporting the beneficial effect of this intervention.
authors: Heart Failure Unit, Cardiac Department, G Da Saliceto Hospital, I-29100 Piacenza, Italy. m.piepoli@alice.it
authors: Massimo F
authors: MF
authors: Piepoli
authors: Viviane
authors: V
authors: Conraads
authors: Ugo
authors: U
authors: Corrà
authors: Kenneth
authors: K
authors: Dickstein
authors: Darrel P
authors: DP
authors: Francis
authors: Tiny
authors: T
authors: Jaarsma
authors: John
authors: J
authors: McMurray
authors: Burkert
authors: B
authors: Pieske
authors: Ewa
authors: E
authors: Piotrowicz
authors: Jean-Paul
authors: JP
authors: Schmid
authors: Stefan D
authors: SD
authors: Anker
authors: Alain Cohen
authors: AC
authors: Solal
authors: Gerasimos S
authors: GS
authors: Filippatos
authors: Arno W
authors: AW
authors: Hoes
authors: Stefan
authors: S
authors: Gielen
authors: Pantaleo
authors: P
authors: Giannuzzi
authors: Piotr P
authors: PP
authors: Ponikowski
mesh_terms: D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000517:prevention & control; D017147:Defibrillators, Implantable; D005060:Europe; D015444:Exercise / Q000502:physiology*; D005081:Exercise Therapy; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D012955:Societies, Medical