Mechanisms by which exercise training benefits patients with heart failure.

Ettore Crimi, Louis J Ignarro, Francesco Cacciatore, Claudio Napoli
Author Information
  1. Ettore Crimi: Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. ecrimi@partners.org

Abstract

Clinical consequences of heart failure are fatigue, dyspnea, and progressive impairment of exercise tolerance. Regular exercise training is associated with health-improving effects. In patients with stable heart failure, exercise training can relieve symptoms, improve exercise capacity and quality of life, as well as reduce hospitalization and, to some extent, risk of mortality. Progressive exercise training is associated with pulmonary, cardiovascular, and skeletal muscle metabolic adaptations that increase oxygen delivery and energy production. This Review focuses on current knowledge of mechanisms by which progressive and moderate exercise training can have sustained beneficial effects on patients with heart failure.

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MeSH Term

Cardiovascular System
Endothelium, Vascular
Exercise Therapy
Exercise Tolerance
Heart Failure
Humans
Inflammation
Muscle, Skeletal
Nervous System
Quality of Life
Recovery of Function
Treatment Outcome

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