title: Pulmonary rehabilitation and exercise in pulmonary arterial hypertension: An underutilized intervention.
abstract: Pulmonary arterial hypertension (PAH) is a rare and devastating disease characterized by progressive increases in pulmonary arterial pressure and pulmonary vascular resistance which eventually leads to right ventricular failure and death. Early thought process was that exercise and increased physical activity may be detrimental to PAH patients however many small cohort trials have proven otherwise. In addition to the many pharmaceutical options, exercise and pulmonary rehabilitation have also been shown to increase exercise capacity as well as various aspects of psychosomatic health. As pulmonary and exercise rehabilitation become more widely used as an adjuvant therapy patient outcomes improve and physicians should consider this in the therapeutic algorithm along with pharmacotherapy.
authors.affiliation: North Shore - Long Island Jewish Health System, Department of Pulmonary, Critical Care and Sleep Medicine, New Hyde Park, NY, USA.
authors.forename: Sonu
authors.initials: S
authors.lastname: Sahni
authors.affiliation: Touro College of Osteopathic Medicine, Department of Primary Care, New York, NY, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Capozzi
authors.affiliation: North Shore - Long Island Jewish Health System, Department of Pulmonary, Critical Care and Sleep Medicine, New Hyde Park, NY, USA.
authors.forename: Asma
authors.initials: A
authors.lastname: Iftikhar
authors.affiliation: Seton Hall University - School of Health and Medical Sciences, South Orange, NJ, USA.
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Sgouras
authors.affiliation: W. Bieganski Hospital, Department of Cardiology, Łódź, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Ojrzanowski
authors.affiliation: North Shore - Long Island Jewish Health System, Department of Pulmonary, Critical Care and Sleep Medicine, New Hyde Park, NY, USA ; Hofstra North Shore - LIJ School of Medicine, Hofstra University, Hempstead, NY, USA.
authors.forename: Arunabh
authors.initials: A
authors.lastname: Talwar
keywords: Exercise intolerance; Health related quality of life; Pulmonary arterial hypertension; Pulmonary hypertension; Pulmonary rehabilitation; Six minute walk test