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The effects of exercise training on patients with chronic heart failure
Affiliation:1. Cardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Palo Alto, California;2. Texas Tech University of Health Sciences, Amarillo, Texas;3. Lonestar Arrhythmia and Heart Failure Center, Amarillo, Texas;4. Colombia University, New York, New York;1. Department of Cardiology, Ullevaal University Hospital, Oslo, Norway;2. Norwegian Research Center for Active Rehabilitation, Orthopedic Center, Ullevaal University Hospital, Oslo, Norway;1. Department of Psychosomatic and General Internal Medicine, Medical Hospital, University of Heidelberg, Germany;2. Department of Cardiology, Medical Hospital, University of Heidelberg, Germany;3. Department of Cardiology, Theresien Hospital Mannheim, Germany;4. Department of Cardiology, Medical Hospital Ludwigshafen, Germany;5. Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf and Hamburg-Eilbek (Schön Clinics), Germany;1. Instituto Mexicano del Petroleo, Eje Central Lázaro Cárdenas Norte No. 152, Col. San Bartolo Atepehuacan, C.P. 07730 México, D.F., Mexico;2. Facultad de Ingeniería Mecánica, UMSNH, Santiago Tapia 403 Col. Centro, C.P. 58098 Morelia, Michoacán, Mexico;3. CIMAV, Complejo Industrial Chihuahua, Chihuahua, Mexico;4. UAEM-CIICAP, Av. Universidad 1001, Col. Chamilpa, Cuernavaca, Morelos, Mexico;1. Integrative and Systems Biology, Faculty of Biomedical and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, United Kingdom;2. Division of Developmental Medicine, University of Glasgow, United Kingdom
Abstract:The activity levels of patients with chronic heart failure are limited by breathlessness and muscle fatigue. An overview of the factors contributing to this reduction in exercise tolerance is presented. The review of the studies indicates these changes can be reversed by a period of exercise training with a concomitant improvement in quality of life. Problems in comparing different training programmes and the use of different outcome measures are discussed. Recommendations for exercise programmes are made based on the findings of this review.
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