Exercise and chronic heart failure (CHF)
- a meta-analysis of randomised trials (1) provides no evidence that properly supervised medical training programmes for patients with heart failure might be dangerous
- the meta-analysis provided evidence that, in patients with chronic heart failure from left ventricular systolic dysfunction,
- exercise training delayed death and hospital admissions
- the meta-analysis provided evidence that, in patients with chronic heart failure from left ventricular systolic dysfunction,
- a further systematic review (2) concluded that exercise training was safe in patients with heart failure and resulted in increased peak oxygen consumption
- a study has shown that (3):
- exercise training confers modest but statistically significant improvements in self-reported health status compared with usual care without training
- improvements occur early and persist over time
Reference:
- Piepoli MF et al. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 2004;328:189-92.
- Smart N et al . Exercise training for patients with heart failure: a systematic review of factors that improve mortality and morbidity. Am J Med 2004;116:693-706
- O'Connor CM et al. Effects of exercise training on health status in patients with chronic heart failure: HF-ACTION randomized controlled trial.JAMA. 2009 Apr 8;301(14):1451-9
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