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The benefit of exercise training in pulmonary hypertension: a clinical review
Author(s) -
Chia Karen S. W.,
Wong Peter K. K.,
Faux Steven G.,
McLachlan Craig S.,
Kotlyar Eugene
Publication year - 2017
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13159
Subject(s) - medicine , pulmonary hypertension , quality of life (healthcare) , physical therapy , regimen , endurance training , exercise therapy , intensive care medicine , cardiology , afterload , physical exercise , pulmonary artery , blood pressure , randomized controlled trial , nursing
Pulmonary hypertension ( PH ) is a clinical condition characterised by raised pulmonary artery pressure, which results in increased right ventricular afterload and dyspnoea. This is accompanied by reduced exercise capacity, quality of life and, eventually, death. An increasing range of targeted medications has transformed the treatment of pulmonary arterial hypertension, a specific type of PH . Supervised exercise training is recommended as part of a multifaceted management plan for PH . However, many questions remain regarding how exercise training improves exercise capacity and quality of life. The optimal exercise regimen (frequency, timing, duration and intensity) also remains unclear. This review provides an update on the pathophysiology of exercise impairment in PH , suggests mechanisms by which exercise may improve symptoms and function and offers evidence‐based recommendations regarding the frequency and intensity of an exercise programme for patients with PH .