Cardiac Rehabilitation in Heart Failure. Part I, Mechanism
Introduction Diagnosis and treatment issues among heart failure (HF) patients are becoming one of the most important points in public health of developed countries, largely due to the aging of population and the fact that HF affects mainly the elderly. In this review we would like to focus on patho...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
2018-03-01
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| Series: | Central European Journal of Sport Sciences and Medicine |
| Subjects: | |
| Online Access: | https://wnus.edu.pl/cejssm/en/issue/757/article/12250/ |
| _version_ | 1819090794159538176 |
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| author | Agnieszka Kujawska Jakub Husejko Agata Marszałek Żaneta Szczęśniak Weronika Topka Małgorzata Gajos Joanna Androsiuk-Perkowska Radosław Perkowski Natalia Skierkowska Sławomir Kujawski Kornelia Kędziora-Kornatowska |
| author_facet | Agnieszka Kujawska Jakub Husejko Agata Marszałek Żaneta Szczęśniak Weronika Topka Małgorzata Gajos Joanna Androsiuk-Perkowska Radosław Perkowski Natalia Skierkowska Sławomir Kujawski Kornelia Kędziora-Kornatowska |
| author_sort | Agnieszka Kujawska |
| collection | DOAJ |
| description | Introduction
Diagnosis and treatment issues among heart failure (HF) patients are becoming one of the most important points in public health of developed countries, largely due to the aging of population and the fact that HF affects mainly the elderly. In this review we would like to focus on pathophysiology of exercise intolerance in patients with heart failure and potential benefits of cardiac rehabilitation (CR).
Material and Methods
Analysis of articles in the EBSCO database using keywords: heart failure, cardiac rehabilitation, exercise training, pathophysiology.
Results
HF can be described as a composite syndrome which results from structural or functional impairment of ventricular filling or blood ejection. Patients have variety of symptoms which usually are nonspecific. The most frequently occurring symptoms of HF are dyspnea and fatigue, which may restrict exercise capacity, and fluid retention. There are many possible pathophysiological factors involved in the development of exercise intolerance. Based on the available literature pathological changes in central hemodynamic function, pulmonary system, skeletal muscles, endothelial function and neurohumoral system can be distinguished. They play a crucial role in the pathogenesis of HF symptoms and represent a potential curative object.
Conclusions
HF patients are characterized by diminished functional performance. Exercise training has many potential profits in patients with heart failure, including an increase in peak oxygen uptake, improvement in central hemodynamics, peripheral vascular and skeletal muscle function and has become part of evidence-based clinical therapy in these patients. |
| first_indexed | 2024-12-21T22:29:29Z |
| format | Article |
| id | doaj.art-e485b7e556374b978e6932ada89d3e0b |
| institution | Directory Open Access Journal |
| issn | 2300-9705 2353-2807 |
| language | English |
| last_indexed | 2024-12-21T22:29:29Z |
| publishDate | 2018-03-01 |
| publisher | Wydawnictwo Naukowe Uniwersytetu Szczecińskiego |
| record_format | Article |
| series | Central European Journal of Sport Sciences and Medicine |
| spelling | doaj.art-e485b7e556374b978e6932ada89d3e0b2022-12-21T18:48:08ZengWydawnictwo Naukowe Uniwersytetu SzczecińskiegoCentral European Journal of Sport Sciences and Medicine2300-97052353-28072018-03-012110.18276/cej.2018.1-02Cardiac Rehabilitation in Heart Failure. Part I, MechanismAgnieszka Kujawska0Jakub Husejko1Agata Marszałek2Żaneta Szczęśniak3Weronika Topka4Małgorzata Gajos5Joanna Androsiuk-Perkowska6Radosław Perkowski7Natalia Skierkowska8Sławomir Kujawski9Kornelia Kędziora-Kornatowska10Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department of Hygiene, Epidemiology and Ergonomics, Division of Ergonomics and Exercise Physiology, Nicolaus Copernicus University in Torun, PolandFaculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, PolandIntroduction Diagnosis and treatment issues among heart failure (HF) patients are becoming one of the most important points in public health of developed countries, largely due to the aging of population and the fact that HF affects mainly the elderly. In this review we would like to focus on pathophysiology of exercise intolerance in patients with heart failure and potential benefits of cardiac rehabilitation (CR). Material and Methods Analysis of articles in the EBSCO database using keywords: heart failure, cardiac rehabilitation, exercise training, pathophysiology. Results HF can be described as a composite syndrome which results from structural or functional impairment of ventricular filling or blood ejection. Patients have variety of symptoms which usually are nonspecific. The most frequently occurring symptoms of HF are dyspnea and fatigue, which may restrict exercise capacity, and fluid retention. There are many possible pathophysiological factors involved in the development of exercise intolerance. Based on the available literature pathological changes in central hemodynamic function, pulmonary system, skeletal muscles, endothelial function and neurohumoral system can be distinguished. They play a crucial role in the pathogenesis of HF symptoms and represent a potential curative object. Conclusions HF patients are characterized by diminished functional performance. Exercise training has many potential profits in patients with heart failure, including an increase in peak oxygen uptake, improvement in central hemodynamics, peripheral vascular and skeletal muscle function and has become part of evidence-based clinical therapy in these patients.https://wnus.edu.pl/cejssm/en/issue/757/article/12250/heart failurecardiac rehabilitationexercise trainingpathophysiology |
| spellingShingle | Agnieszka Kujawska Jakub Husejko Agata Marszałek Żaneta Szczęśniak Weronika Topka Małgorzata Gajos Joanna Androsiuk-Perkowska Radosław Perkowski Natalia Skierkowska Sławomir Kujawski Kornelia Kędziora-Kornatowska Cardiac Rehabilitation in Heart Failure. Part I, Mechanism Central European Journal of Sport Sciences and Medicine heart failure cardiac rehabilitation exercise training pathophysiology |
| title | Cardiac Rehabilitation in Heart Failure. Part I, Mechanism |
| title_full | Cardiac Rehabilitation in Heart Failure. Part I, Mechanism |
| title_fullStr | Cardiac Rehabilitation in Heart Failure. Part I, Mechanism |
| title_full_unstemmed | Cardiac Rehabilitation in Heart Failure. Part I, Mechanism |
| title_short | Cardiac Rehabilitation in Heart Failure. Part I, Mechanism |
| title_sort | cardiac rehabilitation in heart failure part i mechanism |
| topic | heart failure cardiac rehabilitation exercise training pathophysiology |
| url | https://wnus.edu.pl/cejssm/en/issue/757/article/12250/ |
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