Cardiac Rehabilitation in Heart Failure. Part I, Mechanism

• Authors: Agnieszka Kujawska , Jakub Husejko , Agata Marszałek , Żaneta Szczęśniak , Weronika Topka , Małgorzata Gajos , Joanna Androsiuk-Perkowska , Radosław Perkowski , Skierkowska Natalia , Sławomir Kujawski , Kornelia Kędziora-Kornatowska
• Languages of publication: EN

Abstracts

EN

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). Analysis of articles in the EBSCO database using keywords: heart failure, cardiac rehabilitation, exercise training, pathophysiology. 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. 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.

Keywords

EN

cardiac rehabilitation; exercise training; heart failure; pathophysiology

Discipline

• MEDICINE: MEDICINE

• Journal: Central European Journal of Sport Sciences and Medicine
• Year: 2018
• Volume: 21
• Issue: 1
• Pages: 13-21

Contributors

author

Agnieszka Kujawska

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland,

author

Jakub Husejko

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Agata Marszałek

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Żaneta Szczęśniak

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Weronika Topka

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Małgorzata Gajos

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Joanna Androsiuk-Perkowska

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Radosław Perkowski

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Skierkowska Natalia

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

author

Sławomir Kujawski

• Faculty of Health Sciences, Department of Hygiene, Epidemiology and Ergonomics, Division of Ergonomics and Exercise Physiology, Nicolaus Copernicus University in Torun, Poland

author

Kornelia Kędziora-Kornatowska

• Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

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• Document Type: article