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Rehabilitation Therapy in Patients with Heart Failure

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Current Approach to Heart Failure

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Abstract

There is a growing number of patients with heart failure, both male and female. The current medical therapy includes a variety of medical treatment options that can reduce morbidity and mortality.

Nevertheless, in heart failure patients, deconditioning determines important limitations. The most recent studies that include physical training in their design showed improvement in cardiovascular function, quality of life and other physiological parameters.

The recent progress made in cardiac rehabilitation proved it not as an exhaustive exercise of therapy, on the contrary, it emphasized the complexity of cardiac rehabilitation in heart failure patients, current recommendations, limitations, as well as highlighting emerging trends that may show superior results in the future.

Physical training is one of the essential components of any cardiac rehabilitation program, however, complete modern programs support a comprehensive approach to modify disease, including risk factor control, nutritional counseling, psychological and social management or weight management, in order to provide the required tools to return to daily activities as soon as possible, as well as social and professional reinsertion.

Rehabilitation in heart failure has proven its benefits and it is highly recommended by recent guidelines published by the ESC, however it is still hardly implemented in current practice.

The development of different approaches, such as alternative monitoring and supervision strategies, can address this issue and extend implementation of cardiac rehabilitation and, furthermore, maximize its benefits in heart failure.

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Authors and Affiliations

  1. University of Medicine and Pharmacy Carol Davila Bucharest, Department of Cardiology, Clinical Emergency Hospital Bucharest, Bucharest, Romania

    Maria Dorobanţu

  2. National Institute of Medical Expertise and Recovery of Work Capacity, Bucharest, Romania

    Rodica Simona Căpraru

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  1. Maria Dorobanţu
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  2. Rodica Simona Căpraru
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Correspondence to Maria Dorobanţu .

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Editors and Affiliations

  1. Emergency Clinical Hospital of Bucharest, UMF Carol Davila – Bucharest Emergency Clinical Hospital of Bucharest, Bucharest, Romania

    Maria Dorobanţu

  2. Department of Cardiology, University Heart Center Department of Cardiology, Zürich, Switzerland

    Frank Ruschitzka

  3. Section of Cardiovascular Diseases, University of Brescia Section of Cardiovascular Diseases, Brescia, Italy

    Marco Metra

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Dorobanţu, M., Căpraru, R.S. (2016). Rehabilitation Therapy in Patients with Heart Failure. In: Dorobanţu, M., Ruschitzka, F., Metra, M. (eds) Current Approach to Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-45237-1_28

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