scholarly journals Aerobic Training Intensity for Improved Endothelial Function in Heart Failure Patients: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
M. J. Pearson ◽  
N. A. Smart
Keyword(s):  
Heart Failure ◽  
Exercise Training ◽  
Endothelial Function ◽  
Aerobic Exercise ◽  
Aerobic Training ◽  
Meta Analysis ◽  
Flow Mediated Dilation ◽  
Training Intensity ◽  
Heart Failure Patients ◽  
Patients With Heart Failure

Objective. Flow-mediated dilation (FMD) is widely utilised to assess endothelial function and aerobic exercise improves FMD in heart failure patients. The aim of this meta-analysis is to quantify the effect of aerobic training intensity on FMD in patients with heart failure. Background. A large number of studies now exist that examine endothelial function in patients with heart failure. We sought to add to the current literature by quantifying the effect of the aerobic training intensity on endothelial function. Methods. We conducted database searches (PubMed, Embase, ProQuest, and Cochrane Trials Register to June 30, 2016) for exercise based rehabilitation trials in heart failure, using search terms exercise training, endothelial function, and flow-mediated dilation (FMD). Results. The 13 included studies provided a total of 458 participants, 264 in intervention groups, and 194 in nonexercising control groups. Both vigorous and moderate intensity aerobic training significantly improved FMD. Conclusion. Overall both vigorous and moderate aerobic exercise training improved FMD in patients with heart failure.

scholarly journals Flow mediated dilation in patient with Berlin Heart Incor left ventricle assist device

2016 ◽  
Vol 70 (1) ◽  
Author(s):  
Franco Tarro Genta ◽  
Elena Colajanni ◽  
Pierluigi Sbarra ◽  
Massimo Tidu ◽  
Mauro Rinaldi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Left Ventricle ◽  
Endothelial Function ◽  
Flow Mediated Dilation ◽  
Paper Report ◽  
Assist Device ◽  
Heart Failure Patients ◽  
Refractory Heart Failure ◽  
Present Paper Report ◽  
Ventricle Assist Device

Endothelial function measured with brachial ultrasound (BU) is a validated prognostic factor in heart failure patients. LVAD (left ventricle assist device) application is a promising surgical technique to treat refractory heart failure patients both as a bridge to heart transplantation or as destination therapy. Clinical recovery in such patients may be associated to normal endothelial function measured by BU but, as recently reported, only in pulsatile flow LVAD patients. The present paper report a case of normal endothelial function even in a axial LVAD patient.

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