Aerobic exercise prescription in heart failure patients with cardiac resynchronization therapy.

aerobic exercise prescription cardiac resynchronization therapy functional capacity heart failure rehabilitation

Journal

Journal of arrhythmia
ISSN: 1880-4276
Titre abrégé: J Arrhythm
Pays: Japan
ID NLM: 101263026

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 25 06 2020
revised: 09 11 2020
accepted: 18 11 2020
entrez: 5 3 2021
pubmed: 6 3 2021
medline: 6 3 2021
Statut: epublish

Résumé

Exercise for heart failure patients had been shown to be beneficial in improving functional status, and was reviewed to be safe. In cases of advanced heart failure, Cardiac Resynchronization Therapy (CRT) is a promising medical option before being a heart transplant candidate. CRT itself is a biventricular pacing device, which could detect electrical aberrance in the failing heart and provide a suitable response. Studies have shown that exercise has clear benefits toward improving an overall exercise capacity of the patients. Despite its impacts, these randomized clinical trials have varying exercise regime, and until now there has not been a standardized exercise prescription for this group of patients. The nature of CRT as a pacemaker, sometimes with defibrillator, being attached to a heart failure patient, each has its own potential exercise hazards. Therefore, providing detailed exercise prescription in adjusting to the medical condition is very essential in the field of physical medicine and rehabilitation. Being classified as a high-risk patient group, exercise challenges for the complex heart failure with CRT patients will then be discussed in this literature review, with a general aim to provide a safe, effective, and targeted exercise regime.

Identifiants

pubmed: 33664899
doi: 10.1002/joa3.12475
pii: JOA312475
pmc: PMC7896451
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

165-172

Informations de copyright

© 2020 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Heart Rhythm Society.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

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Auteurs

Deddy Tedjasukmana (D)

Department of Physical Medicine and Rehabilitation Faculty of Medicine Universitas Indonesia Jakarta Indonesia.

Kevin Triangto (K)

Department of Physical Medicine and Rehabilitation Faculty of Medicine Universitas Indonesia Jakarta Indonesia.

Basuni Radi (B)

Department of Cardiology and Vascular Medicine Faculty of Medicine Universitas Indonesia Jakarta Indonesia.

Classifications MeSH