Does Aerobic Exercise have a Role in the Treatment Plan of a Patient with Heart Failure

10.5580/10db ◽  
2010 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Heart Failure ◽  
Aerobic Exercise ◽  
Treatment Plan

MIOPATIA MUSCULAR ESQUELÉTICA INDUZIDA PELA INSUFICIÊNCIA CARDÍACA DE ETIOLOGIA HIPERTENSIVA: PAPEL TERAPÊUTICO DO TREINAMENTO FÍSICO AERÓBIOHYPERTENSIVE HEART FAILURE-INDUCED SKELETAL MUSCLE MYOPATHY: THERAPEUTIC ROLE OF AEROBIC EXERCISE TRAININGRESUMOA insuficiência cardíaca (IC) é a via final comum da maioria das doenças que acometem o coração. Entre os fatores de risco conhecidos, a hipertensão arterial (HA) é a doença mais frequentemente associada à IC. Caracterizada pela intolerância ao exercício, a IC promove disfunção cardíaca e alterações intrínsecas musculares envolvidas na redução da capacidade física. Várias anormalidades do músculo esquelético têm sido descritas em pacientes e animais com IC, incluindo atrofia, fibrose, mudança na composição dos tipos de fibras, rarefação microvascular e reduzida capacidade de oxidação. Por outro lado, o treinamento físico aeróbio (TFA) vem sendo utilizado como uma importante terapia não farmacológica para a prevenção e o tratamento da IC; em parte, por melhorar a função endotelial e a perfusão coronária, diminuir a resistência vascular periférica e induzir o remodelamento das células musculares cardíacas e esqueléticas, levando ao aumento da captação de oxigênio e resistência à fadiga. Os mecanismos e vias de sinalização intracelular envolvidas nas anormali

2020 ◽  
Vol 30 (2) ◽  
pp. 239-247
Author(s):  
Bruno Rocha de Avila Pelozin ◽  
◽  
Larissa Ferreira-Santos ◽  
Luis Felipe Rodrigues ◽  
Edilamar Menezes de Oliveira ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscle ◽  
Aerobic Exercise ◽  
Therapeutic Role ◽  
Insuficiencia Cardiaca

scholarly journals Association between ventilatory efficiency, oxygen uptake, and Glittre-ADL test results in patients with chronic heart failure: a preliminary study

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Hebert Olímpio Júnior ◽  
Agnaldo José Lopes ◽  
Fernando Silva Guimarães ◽  
Sergio Luiz Soares Marcos da Cunha Chermont ◽  
Sara Lúcia Silveira de Menezes
Keyword(s):  
Heart Failure ◽  
New York ◽  
Chronic Heart Failure ◽  
Functional Capacity ◽  
Treatment Plan ◽  
Minute Ventilation ◽  
Heart Association ◽  
Gas Analysis ◽  
Ventilatory Efficiency ◽  
Scale Scores

Abstract Objective The Glittre-ADL test (GA-T) is a functional capacity test that stands out for encompassing multiple tasks similar to activities of daily living. As ventilatory efficiency is one of the variables valued in the prognosis of chronic heart failure (CHF), this study aimed to evaluate associations between functional capacity and ventilatory variables in patients with CHF during the GA-T. Results Eight patients with CHF and New York Heart Association (NYHA) functional classification II–III underwent the GA-T coupled with metabolic gas analysis to obtain data by means of telemetry. The median total GA-T time was 00:04:39 (00:03:29–00:05:53). Borg dyspnoea scale scores before and after the GA-T were 2 (0–9) and 3 (1–10), respectively (P = 0.011). The relationship between the regression slope relating minute ventilation to carbon dioxide output (VE/VCO2 slope) was correlated with the total GA-T time (rs = 0.714, P = 0.047) and Borg dyspnoea score (rs = 0.761, P = 0.028). The other ventilatory variables showed no significant correlations. Our results suggest that the total GA-T time can be applied to estimate the ventilatory efficiency of patients with CHF. Future studies may use the GA-T in conjunction with other functional capacity tests to guide the treatment plan and evaluate the prognosis.

scholarly journals Expression of the Irisin Precursor FNDC5 in Skeletal Muscle Correlates With Aerobic Exercise Performance in Patients With Heart Failure

2012 ◽  
Vol 5 (6) ◽  
pp. 812-818 ◽  
Author(s):  
Stewart H. Lecker ◽  
Alexandra Zavin ◽  
Peirang Cao ◽  
Ross Arena ◽  
Kelly Allsup ◽  
...  
Keyword(s):  
Heart Failure ◽  
Skeletal Muscle ◽  
Aerobic Exercise ◽  
Exercise Performance ◽  
Patients With Heart Failure

The Effects of Aerobic Exercise on Postconcussion Symptoms in Patients With Persistent Symptoms: A Critically Appraised Topic

2020 ◽  
Vol 25 (1) ◽  
pp. 4-11
Author(s):  
Timothy A. Kulpa ◽  
Jamie Mansell ◽  
Anne Russ ◽  
Ryan Tierney
Keyword(s):  
Aerobic Exercise ◽  
Treatment Plan ◽  
Rehabilitation Program ◽  
Bottom Line ◽  
Persistent Symptoms ◽  
Improved Outcomes ◽  
Cognitive Rest ◽  
Potential Clinical Utility ◽  
Active Rehabilitation ◽  
Postconcussion Symptoms

Context: Patients who do not fully recover from a concussion in 7–14 days may require an impairment-based rehabilitation program. Recent evidence indicates improved outcomes with active rehabilitation compared to passive physical and cognitive rest. Clinical Question: In patients with persistent symptoms (greater than 4 weeks) following concussion, how does aerobic exercise affect postconcussion symptoms? Clinical Bottom Line: There is moderate and sufficient SORT Level B evidence to support the inclusion of subsymptom threshold (SST) exercise in the multimodal treatment plan for patients suffering from persistent symptoms after concussion. All five included studies reported moderate to very large effects ranging from d = 0.72 to d = 10.64 in reducing symptoms after the implementation of SST aerobic exercise. Additionally, two studies also identified moderate and very large effects (d = 0.77, d = 2.56) favoring aerobic exercise over stretching interventions. These results indicate that this treatment has potential clinical utility and is a viable option to reduce symptoms in patients with postconcussion syndrome and persistent symptoms following concussion.

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