Exercise and heart failure: an update

Gaia Cattadori, Chiara Segurini, Anna Picozzi, Luigi Padeletti, Claudio Anzà, Gaia Cattadori, Chiara Segurini, Anna Picozzi, Luigi Padeletti, Claudio Anzà

Abstract

The present update is dedicated to the evolution of the interaction between heart failure (HF) and exercise and how the scientific community has handled it. Indeed, on the one hand, HF is a leading cause of morbidity and mortality with a stable prevalence from 1998 onward varying between 6.3% and 13.3%. On the other hand, exercise is seen as a diagnostic and prognostic tool as well as a therapeutic intervention in chronic HF. More precisely, the knowledge, the clinical application, and the research interest on the mutual interactions between exercise and HF have different phases in disease progression: Before HF onset (past): exercise provides protective benefit in preventing HF (primary prevention). With HF present: exercise improvement with training provides benefits in HF (secondary prevention). The prediction of future in HF patients: exercise impairment, as a leading characteristic of HF, is used as a prognostic factor.

Keywords: Exercise; Heart failure; Prevention; Prognosis; Training.

© 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.

Figures

Figure 1
Figure 1
PubMed results searching for ‘exercise and heart failure’.
Figure 2
Figure 2
Scheme of interactions between exercise and heart failure in different phases of the disease.

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Source: PubMed

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