British Journal of Sports Medicine 2007;41:407-408
LEADER
CHRONIC HEART FAILURE
Evidence-based approach to exercise prescription in chronic heart failure
1 Centre for Ageing, Rehabilitation, Exercise and Sport (CARES), Victoria University, Melbourne, Victoria, Australia
2 Department of Cardiology, Austin Health, University of Melbourne, Melbourne, Victoria, Australia
Correspondence to:
Dr S E Selig
Centre for Ageing, Rehabilitation, Exercise and Sport (CARES), Victoria University, Melbourne, Victoria 8001, Australia; steve.selig@vu.edu.au
Accepted 21 January 2007
The benefits of moderate exercise appear to outweigh the risks
| The first 150 words of the full text of this article appear below. |
The hallmark symptoms of chronic heart failure (CHF) are fatigue and breathlessness, leading to impaired quality of life and capacity for activities of daily living (ADLs). Exercise training has the potential to delay the onset of fatigue and breathlessness, not just in patients with CHF, but in all people who exercise regularly. However, cardiologists have been concerned with recommending exercise to their patients with CHF, owing to perceptions that habitual exercise training may accelerate the disease process via cardiac hypertrophy and remodelling, deterioration in central haemodynamics and neurohormonal overactivity. All of these have strong associations with increased morbidity and mortality in these patients. A further concern has been that of sudden death from exercise-induced arrhythmias and, to a lesser extent, severe perturbations in blood pressure. Exercise training in patients with CHF is a relatively recent development, and studies to date have generally been limited to clinically stable,
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