Evidence-based approach to exercise prescription in chronic heart failure

Abstract

Combinations of moderate-intensity aerobic and strength training programmes for patients with CHF improve aerobic capacity, skeletal muscle structure and function, peripheral blood flow, and neurohormonal and endothelial function, with some evidence for improvements in central haemodynamics, cardiac volumes and mortality. Larger studies are underway for morbidity and mortality outcomes, and more studies are needed to examine the safety versus efficacy for patients with more advanced and complicated disease. Patients need to be medically assessed before referral to clinically qualified exercise physiologists who are trained to recognise adverse signs and symptoms and intervene appropriately. ..