Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction
Nearly half of patients with heart failure in the community have heart failure with preserved ejection fraction (HFpEF). Patients with HFpEF are often elderly and their primary chronic symptom is severe exercise intolerance. Left ventricular diastolic dysfunction is associated with the pathophysiolo...
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Format: | Article |
Language: | English |
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Radcliffe Medical Media
2020-10-01
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Series: | Cardiac Failure Review |
Online Access: | https://www.cfrjournal.com/articles/effects-of-exercise-training-on-cardiac-function |
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author | Hidekatsu Fukuta |
author_facet | Hidekatsu Fukuta |
author_sort | Hidekatsu Fukuta |
collection | DOAJ |
description | Nearly half of patients with heart failure in the community have heart failure with preserved ejection fraction (HFpEF). Patients with HFpEF are often elderly and their primary chronic symptom is severe exercise intolerance. Left ventricular diastolic dysfunction is associated with the pathophysiology of HFpEF and is an important contributor to exercise intolerance in HFpEF patients. The effects of exercise training on left ventricular diastolic function in HFpEF patients have been examined in several randomised clinical trials. Meta-analysis of the trials indicates that exercise training can provide clinically relevant improvements in exercise capacity without significant change in left ventricular structure or function in HFpEF patients. Further studies are necessary to elucidate the exact mechanisms of exercise intolerance in HFpEF patients and to develop recommendations regarding the most effective type, intensity, frequency, and duration of training in this group. |
first_indexed | 2024-03-07T17:40:56Z |
format | Article |
id | doaj.art-6bab68ef69eb4937b19e392c39f76043 |
institution | Directory Open Access Journal |
issn | 2057-7540 2057-7559 |
language | English |
last_indexed | 2024-04-24T07:25:29Z |
publishDate | 2020-10-01 |
publisher | Radcliffe Medical Media |
record_format | Article |
series | Cardiac Failure Review |
spelling | doaj.art-6bab68ef69eb4937b19e392c39f760432024-04-20T16:01:59ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592020-10-01610.15420/cfr.2020.17Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection FractionHidekatsu Fukuta0Core Laboratory, Nagoya City University Graduate School of Medical Sciences, Nagoya, JapanNearly half of patients with heart failure in the community have heart failure with preserved ejection fraction (HFpEF). Patients with HFpEF are often elderly and their primary chronic symptom is severe exercise intolerance. Left ventricular diastolic dysfunction is associated with the pathophysiology of HFpEF and is an important contributor to exercise intolerance in HFpEF patients. The effects of exercise training on left ventricular diastolic function in HFpEF patients have been examined in several randomised clinical trials. Meta-analysis of the trials indicates that exercise training can provide clinically relevant improvements in exercise capacity without significant change in left ventricular structure or function in HFpEF patients. Further studies are necessary to elucidate the exact mechanisms of exercise intolerance in HFpEF patients and to develop recommendations regarding the most effective type, intensity, frequency, and duration of training in this group.https://www.cfrjournal.com/articles/effects-of-exercise-training-on-cardiac-function |
spellingShingle | Hidekatsu Fukuta Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction Cardiac Failure Review |
title | Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction |
title_full | Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction |
title_fullStr | Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction |
title_full_unstemmed | Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction |
title_short | Effects of Exercise Training on Cardiac Function in Heart Failure with Preserved Ejection Fraction |
title_sort | effects of exercise training on cardiac function in heart failure with preserved ejection fraction |
url | https://www.cfrjournal.com/articles/effects-of-exercise-training-on-cardiac-function |
work_keys_str_mv | AT hidekatsufukuta effectsofexercisetrainingoncardiacfunctioninheartfailurewithpreservedejectionfraction |