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Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation
Author(s) -
Piepoli Massimo F.,
Conraads Viviane,
Corrà Ugo,
Dickstein Kenneth,
Francis Darrel P.,
Jaarsma Tiny,
McMurray John,
Pieske Burkert,
Piotrowicz Ewa,
Schmid JeanPaul,
Anker Stefan D.,
Solal Alain Cohen,
Filippatos Gerasimos S.,
Hoes Arno W.,
Gielen Stefan,
Giannuzzi Pantaleo,
Ponikowski Piotr P.
Publication year - 2011
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1093/eurjhf/hfr017
Subject(s) - mindset , heart failure , medicine , rehabilitation , physical therapy , exercise intolerance , position paper , clinical practice , physical medicine and rehabilitation , intensive care medicine , cardiology , philosophy , epistemology , pathology
The European Society of Cardiology heart failure guidelines firmly recommend regular physical activity and structured exercise training (ET), but this recommendation is still poorly implemented in daily clinical practice outside specialized centres and in the real world of heart failure clinics. In reality, exercise intolerance can be successfully tackled by applying ET. We need to encourage the mindset that breathlessness may be evidence of signalling between the periphery and central haemodynamic performance and regular physical activity may ultimately bring about favourable changes in myocardial function, symptoms, functional capacity, and increased hospitalization‐free life span and probably survival. In this position paper, we provide practical advice for the application of exercise in heart failure and how to overcome traditional barriers, based on the current scientific and clinical knowledge supporting the beneficial effect of this intervention.