Physical Training in Patients with Congestive Heart Failure

作者: Paolo Rossi

DOI: 10.1378/CHEST.101.5_SUPPLEMENT.350S

关键词: Heart failureBlood flowDeconditioningStress testingPhysical therapyExercise physiologyAnaerobic exerciseCardiologyInternal medicineMedicineArteriovenous oxygen differenceSkeletal muscle

摘要: Multiple compensatory mechanisms operate to preserve exercise tolerance in patients with left ventricular failure. Exercise capacity of most chronic heart failure is limited by dyspnea or fatigue, both. Maximal stress testing direct assessment peak O2 uptake an essential measurement planning conditioning programs, which are now attracting The biochemical and histologic patterns skeletal muscle changes seen consistent the effects long-term deconditioning normal subjects. Recent studies have suggested beneficial training subjects moderate even severe dysfunction showing increased consumption, anaerobic threshold, leg blood flow, central arteriovenous oxygen difference decreased lactate accumulation. However, a number questions remain unanswered. for treatment should be determined on individual basis used caution.

参考文章(33)
A P Lee, R Ice, R Blessey, M E Sanmarco, Long-term effects of physical training on coronary patients with impaired ventricular function. Circulation. ,vol. 60, pp. 1519- 1526 ,(1979) , 10.1161/01.CIR.60.7.1519
J R Wilson, J L Martin, D Schwartz, N Ferraro, Exercise intolerance in patients with chronic heart failure: role of impaired nutritive flow to skeletal muscle. Circulation. ,vol. 69, pp. 1079- 1087 ,(1984) , 10.1161/01.CIR.69.6.1079
Alain Cohen Solal, Jean Marc Chabernaud, René Gourgon, Comparison of oxygen uptake during bicycle exercise in patients with chronic heart failure and in normal subjects Journal of the American College of Cardiology. ,vol. 16, pp. 80- 85 ,(1990) , 10.1016/0735-1097(90)90460-7
D H Wiener, L I Fink, J Maris, R A Jones, B Chance, J R Wilson, Abnormal skeletal muscle bioenergetics during exercise in patients with heart failure: role of reduced muscle blood flow. Circulation. ,vol. 73, pp. 1127- 1136 ,(1986) , 10.1161/01.CIR.73.6.1127
Gervasio A. Lamas, Douglas E. Vaughan, Marc A. Pfeffer, Left ventricular thrombus formation after first anterior wall acute myocardial infarction American Journal of Cardiology. ,vol. 62, pp. 31- 35 ,(1988) , 10.1016/0002-9149(88)91360-4
B Massie, M Conway, R Yonge, S Frostick, J Ledingham, P Sleight, G Radda, B Rajagopalan, Skeletal muscle metabolism in patients with congestive heart failure: relation to clinical severity and blood flow. Circulation. ,vol. 76, pp. 1009- 1019 ,(1987) , 10.1161/01.CIR.76.5.1009
AJS Coats, S Adamopoulos, TE Meyer, J Conway, P Sleight, Effects of physical training in chronic heart failure The Lancet. ,vol. 335, pp. 63- 66 ,(1990) , 10.1016/0140-6736(90)90536-E
R L Litchfield, R E Kerber, J W Benge, A L Mark, J Sopko, R K Bhatnagar, M L Marcus, Normal exercise capacity in patients with severe left ventricular dysfunction: compensatory mechanisms. Circulation. ,vol. 66, pp. 129- 134 ,(1982) , 10.1161/01.CIR.66.1.129
J. J. Kellermann, J. Shemesh, E. Ben-Ari, Contraindications to physical training in patients with impaired ventricular function. European Heart Journal. ,vol. 9, pp. 71- 76 ,(1988) , 10.1093/EURHEARTJ/9.SUPPL_F.71