Skip to main content
SpringerLink
Log in

Exercise Training in Heart Failure

  • Chapter
Cardiovascular Prevention and Rehabilitation

Abstract

We are all on a trajectory to heart disease. It’s called age. (J. N. Cohn, University of Minneapolis, at the Annual Scientific Meeting of the Heart Failure Society of America, Toronto, Canada, 2004)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Oeppen J, Vaupel JW. Demography. Broken limits to life expectancy. Science 2002;296(5570):1029–1031.

    Article  PubMed  CAS  Google Scholar 

  2. American Heart Association. Heart Disease and Stroke Statistics — 2004 Statistical Update. Dallas: American Heart Association; 2004.

    Google Scholar 

  3. Franciosa JA, Park M, Levine TB. Lack of correlation between exercise capacity and indexes of resting left ventricular performance in heart failure. Am J Cardiol 1981;47:33–39.

    Article  PubMed  CAS  Google Scholar 

  4. Moyna NM. Principles of exercise training for physicians. In: Thompson PD, ed. Exercise and Sports Cardiology. New York: McGraw-Hill; 2001:110–123.

    Google Scholar 

  5. Jugdutt BI, Michorowski BL, Kappagoda CT. Exercise training after anterior Q wave myocardial infarction: Importance of regional left ventricular function and topography. J Am Coll Cardiol 1988;12:362–372.

    Article  PubMed  CAS  Google Scholar 

  6. Dubach P, Myers J, Dziekan G, et al. Effect of exercise training on myocardial remodeling in patients with reduced left ventricular function after myocardial infarction. Circulation 1997;95:2060–2067.

    PubMed  CAS  Google Scholar 

  7. Giannuzzi P, Temporelli PL, Corra U, Tavazzi L. Antiremodeling effect of long-term exercise training in patients with stable chronic heart failure: results of the Exercise in Left Ventricular Dysfunction and Chronic Heart Failure (ELVD-CHF) Trial. Circulation 2003;108(5):554–559

    Article  PubMed  Google Scholar 

  8. Smart N, Marwick TH. Exercise training for patients with heart failure: A systematic review of factors that improve mortality and morbidity. Am J Med 2004;116(10):714–716.

    Article  Google Scholar 

  9. Task force for the diagnosis and treatment of heart failure. Guidelines for the diagnosis and treatment of chronic heart failure. Eur Heart J 2001;22:1527–1560.

    Google Scholar 

  10. Hunt SA, Baker DW, Chin MH, et al. Evaluation and management of heart failure in the adult. Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). American College of Cardiology Web Site 2001.

    Google Scholar 

  11. Piepoli MF, Davos C, Francis DP, Coats AJ. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 2004;328(7433):189.

    Article  PubMed  CAS  Google Scholar 

  12. Erbs S, Linke A, Gielen S, et al. Exercise training in patients with severe chronic heart failure: impact on left ventricular performance and cardiac size. A retrospective analysis of the Leipzig Heart Failure Training Trial. Eur J Cardiovasc Prev Rehabil 2003;10(5):336–344.

    Article  PubMed  Google Scholar 

  13. Tristani FE, Hughes CV, Archibald DG, Sheldahl LM, Cohn JN, Fletcher R. Safety of graded symptomlimited exercise testing in patients with congestive heart failure. Circulation 1987;76(6):VI54–VI58.

    PubMed  CAS  Google Scholar 

  14. American College of Sports Medicine (ACSM) (eds) Guidelines for Exercise Testing and rescription. Baltimore: Williams & Wilkins; 1995.

    Google Scholar 

  15. Fletcher GF, Balady G, Froelicher VF, Hartley LH, Haskell WL, Pollock ML. Exercise standards. A statement for healthcare professionals from the American Heart Association. Writing Group. Circulation 1995;91(2):580–615.

    PubMed  CAS  Google Scholar 

  16. Giannuzzi P, Temporelli P, Corrà U, Gattone M, Giordano P, Tavazzi L. Attenuation of unfavorable remodeling by exercise training in postinfarction patients with left ventricular dysfunction. Results of the Exercise in Left Ventricular Dysfunction (ELVD) Trial. Circulation 1997;96:1790–1797.

    PubMed  CAS  Google Scholar 

  17. Demopoulos L, Bijou R, Fergus I, Jones M, Strom J, LeJementel TH. Exercise training in patients with severe congestive heart failure: Enhancing peak aerobic capacity while minimizing the increase in ventricular wall stress. J Am Coll Cardiol 1997;29:597–603.

    Article  PubMed  CAS  Google Scholar 

  18. Belardinelli R, Georgiou D, Scocco V, Barstow T, Purcaro A. Low intensity exercise training in patients with chronic heart failure. J Am Coll Cardiol 1995;26:975–82.

    Article  PubMed  CAS  Google Scholar 

  19. Kiilavuori K, Sovijärvi A, Näveri H, Ikonen T, Leinonen H. Effect of physical training on exercise capacity and gas exchange in patients with chronic heart failure. Chest 1996;110:985–99

    PubMed  CAS  Google Scholar 

  20. Hambrecht R, Gielen S, Linke A, et al. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure. A randomised trial. JAMA 2000;283:3095–3101.

    Article  PubMed  CAS  Google Scholar 

  21. Elkayam U, Roth A, Weber L, et al. Isometric exercise in patients with chronic advanced heart failure: hemodynamic and neurohumoral evaluation. Circulation 1985;72:975–981.

    PubMed  CAS  Google Scholar 

  22. Keren G, Katz S, Gage J, Strom J, Sonnenblick EH, LeJemtel TH. Effect of isometric exercise on cardiac performance and mitral regurgitation in patients with severe congestive heart failure. Am Heart J 1989;118(5):973–979.

    Article  PubMed  CAS  Google Scholar 

  23. McKelvie RS, McCartney N, Tomlinson CW, Bauer R, MacDougall JD. Comparison of hemodynamic responses to cycling and resistance exercise in congestive heart failure secondary to ischemic cardiomyopathy. Am J Cardiol 1995;76:977–979.

    Article  PubMed  CAS  Google Scholar 

  24. Meyer K, Hajric R, Westbrook S, et al. Hemodynamic response during leg press exercise in patients with chronic heart failure. Am J Cardiol 1999;83(11):1537–1543.

    Article  PubMed  CAS  Google Scholar 

  25. Pu CT, Johnson MT, Forman DE, et al. Randomized trial of progressive resistance training to counteract the myopathy of chronic heart failure. J Appl Physiol 2001;90:2341–2350.

    PubMed  CAS  Google Scholar 

  26. Maiorana A, O’Driscoll G, Cheetham C, et al. Combined aerobic and resistance exercise training improves functional capacity and strength in CHF. J Appl Physiol 2000;88:1565–1570.

    PubMed  CAS  Google Scholar 

  27. Magnusson G, Gordon A, Kaijser L, et al. High intensity knee extensor training in patients with chronic heart failure. Eur Heart J 1996;17:1048–1055.

    PubMed  CAS  Google Scholar 

  28. Koch M, Douard H, Broustet JP. The benefit of graded physical exercise in chronic heart failure. Chest 1998;101(5):231S–235S.

    Google Scholar 

  29. Meyer K, Samek L, Schwaibold M, et al. Physical response to different modes of interval exercise in patients with chronic heart failure — application to exercise training. Eur Heart J 1996;17:1040–1047.

    PubMed  CAS  Google Scholar 

  30. Piepoli M, Flather M, Coats AJS. Overview of studies of exercise training in chronic heart failure: the need for a prospective randomized multicentre European trial. Eur Heart J 1998;19:830–841.

    Article  PubMed  CAS  Google Scholar 

  31. Hambrecht R, Fiehn E, Weigl C, et al. Regular physical exercise corrects endothelial dysfunction and improves exercise capacity in patients with chronic heart failure. Circulation 1998;98:2709–2715.

    PubMed  CAS  Google Scholar 

  32. Linke A, Schoene N, Gielen S, et al. Endothelial dysfunction in patients with chronic heart failure: systemic effects of lower-limb exercise training. J Am Coll Cardiol 2001;37:392–397.

    Article  PubMed  CAS  Google Scholar 

  33. Curnier D, Galinier M, Pathak A, et al. Rehabilitation of patients with congestive heart failure with or without beta-blockade therapy. J Card Fail 2001;7(3):241–248.

    Article  PubMed  CAS  Google Scholar 

  34. Vanhees L, Schepers D, Heidbuchel H, Defoor J, Fagard R. Exercise performance and training in patients with implantable cardioverter-defibrillators and coronary heart disease. Am J Cardiol 2001;87(6):712–715.

    Article  PubMed  CAS  Google Scholar 

  35. Vanhees L, Kornaat M, Defoor J, et al. Effect of exercise training in patients with an implantable cardioverter defibrillator. Eur Heart J 2004;25(13):1120–1126.

    Article  PubMed  Google Scholar 

  36. Kamke W, Dovifat C, Schranz M, Behrens S, Moesenthin J, Voller H. Cardiac rehabilitation in patients with implantable defibrillators. Feasibility and complications. Z Kardiol 2003;92(10):869–875.

    Article  PubMed  CAS  Google Scholar 

  37. Barold HS, Newby KH, Tomassoni G, Kearney M, Brandon J, Natale A. Prospective evaluation of new and old criteria to discriminate between supraven-tricular and ventricular tachycardia in implantable defibrillators. Pacing Clin Electrophysiol 1998;21(7):1347–1355.

    Article  PubMed  CAS  Google Scholar 

  38. Cohen TJ, Chien WW, Lurie KG, et al. Implantable cardioverter defibrillator proarrhythmia: case report and review of the literature. Pacing Clin Electrophysiol 1991;14(9):1326–1329.

    Article  PubMed  CAS  Google Scholar 

  39. Kou WH, Kirsh MM, Stirling MC, Kadish AH, Orringer CE, Morady F. Provocation of ventricular tachycardia by an automatic implantable cardioverter defibrillator. Am Heart J 1990;120(1):208–210.

    Article  PubMed  CAS  Google Scholar 

  40. European Heart Failure Training Group. Experience from controlled trials of physical training in chronic heart failure. Protocol and patient factors in effectiveness in the improvement in exercise tolerance. European Heart Failure Training Group. Eur Heart J 1998;19(3):466–475.

    Article  Google Scholar 

  41. Vaitkevicius PV, Ebersold C, Haydar Z, et al. The utility of exercise training to improve functional capacity of elderly heart failure patients. Circulation 1997;96(Suppl I).

    Google Scholar 

  42. Coats AJS, Adamopoulos S, Meyer TE, Conway J, Sleight P. Effects of physical training in chronic heart failure. Lancet 1990;335:63–66.

    Article  PubMed  CAS  Google Scholar 

  43. Jette M, Heller R, Landry F, Blümchen G. Randomized 4-week exercise program in patients with impaired left ventricular function. Circulation 1991;84:1561–1567.

    PubMed  CAS  Google Scholar 

  44. Coats AJS, Adamopoulos S, Radaelli A, et al. Controlled trial of physical training in chronic heart failure: Exercise performance, hemodynamics, ventilation, and autonomic function. Circulation 1992;85:2119–131

    PubMed  CAS  Google Scholar 

  45. Belardinelli R, Georgiou D, Cianci G, Berman N, Ginzton L, Purcaro A. Exercise training improves left ventricular diastolic filling in patients with dilated cardiomyopathy. Circulation 1995;91:2775–2784.

    PubMed  CAS  Google Scholar 

  46. Kiilavuori K, Toivonen L, Näveri H, Leinonen H. Reversal of autonomic derangements by physical training in chronic heart failure assessed by heart rate variability. Eur Heart J 1995;16:490–495.

    PubMed  CAS  Google Scholar 

  47. Keteyian SJ, Levine AB, Brawner CA, et al. Exercise training in patients with heart failure. Ann Intern Med 1996;124:1051–1057.

    PubMed  CAS  Google Scholar 

  48. Meyer K, Schwaibold M, Westbrook S, et al. Effects of exercise training and activity restriction on 6-minute walking test performance in patients with chronic heart failure. Am Heart J 1997;133:447–453.

    Article  PubMed  CAS  Google Scholar 

  49. Dubach P, Myers J, Dzienkan G, et al. Effect of high intensity exercise training on central hemodynamic response to exercise in men with reduced left ventricular function. J Am Coll Cardiol 1997;29:1591–1598.

    Article  PubMed  CAS  Google Scholar 

  50. Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure. Circulation 1999;99:1173–1182.

    PubMed  CAS  Google Scholar 

  51. McKelvie RS, Teo KK, Roberts R, et al. Effects of exercise training in patients with heart failure: the Exercise Rehabilitation Trial (EXERT). Am Heart J 2002;144(1):23–30.

    Article  PubMed  Google Scholar 

  52. Niebauer J, Clark A, Webb-Peploe KM, Coats AJS. Exercise training in chronic heart failure: Effects on pro-inflammatory markers. Eur J Heart Fail 2005;7:189–193.

    Article  PubMed  CAS  Google Scholar 

  53. Gibbons RJ, Balady GJ, Bricker JT, et al. ACC/AHA 2002 guideline update for exercise testing: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing). American College of Cardiology Web Site 2002.

    Google Scholar 

  54. Braith R. Exercise for chronic heart failure and heart transplant patients. In: Thompson PD, ed. Exercise and Sports Cardiology. New York: McGraw-Hill; 2001:317–353.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine/Cardiology, University of Leipzig, Leipzig Saxony, Germany

    Stephen Gielen MD, Josef Niebauer MD, PhD & Rainer Hambrecht MD

Authors
  1. Stephen Gielen MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Josef Niebauer MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Rainer Hambrecht MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Public Health Department, Kalmar County, Oskarshamn, Sweden

    Joep Perk FESC

  2. Klinische Kardiologie II, Herz-Zentrum Bad Krozingen, Germany

    Helmut Gohlke FACC, FESC

  3. Institute of Health Sciences Department of Earth Sciences, Vrije University, Amsterdam, The Netherlands

    Irene Hellemans MD, (Speciality Cardiology), PhD

  4. Department of Cardiology, Vrije University Medical Center, Amsterdam, The Netherlands

    Irene Hellemans MD, (Speciality Cardiology), PhD

  5. Hôpital Broussais-HEGP, Assistance Publique-Hôpitaux de Paris, Paris, France

    Philippe Sellier MD

  6. Department of Cardiology, Technical University of Munich Munich Rehabilitation Center, München, Germany

    Peter Mathes MD, FACC, FESC

  7. Cardiac Rehabilitation Center, Bois Gilbert, Ballan Miré, France

    Catherine Monpère MD

  8. Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland

    Hannah McGee BA(Mod), PhD, RegPsycholFPsSI

  9. Swiss Cardiovascular Center Bern Cardiovascular Prevention and Rehabilitation University, Hospital Inselspital, Switzerland

    Hugo Saner MD

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag London Limited

About this chapter

Cite this chapter

Gielen, S., Niebauer, J., Hambrecht, R. (2007). Exercise Training in Heart Failure. In: Perk, J., et al. Cardiovascular Prevention and Rehabilitation. Springer, London. https://doi.org/10.1007/978-1-84628-502-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-502-8_19

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-462-5

  • Online ISBN: 978-1-84628-502-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation