Exercise-Based Cardiac Rehabilitation in Patients with Heart Failure

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: closed (15 June 2021) | Viewed by 4830

Special Issue Editor


E-Mail Website
Guest Editor
Servicio de Cardiología, Hospital Clínico Universitario de Valencia. Universitat de València, Valencia, Spain
Interests: cardiac rehabilitation; functional capacity; quality of life; heart failure with reduced ejection fraction; heart failure with preserved ejection fraction; sex differences in cardiovascular diseases

Special Issue Information

Dear Colleagues,

The typical clinical feature of patients with heart failure (HF) is exercise intolerance, which limits patients’ activities of daily living and is an important determinant of quality of life (QoL) and poor prognosis. Previous studies have shown that exercise-based cardiac rehabilitation (CR) improves QoL and functional capacity and reduces the risk of hospitalization. Based on this results, the current guidelines indicate regular aerobic exercise as a recommendation class I for patients with HF, especially for those with reduced ejection fraction. However, survival and hospitalization endpoints for different subgroups of HF patients such as women, older patients, patients with comorbidities, and, particularly, patients with HF with preserved ejection fraction (HFpEF) are still lacking. Additionally, further trials are needed to assess the clinical effectiveness of alternative models of exercise-based CR in patients who are unable to follow or are not compliant with center-based CR programs.

Prof. Dr. Patricia Palau
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Exercise-based cardiac rehabilitation
  • Functional capacity
  • Quality of life
  • Prognosis
  • Heart Failure
  • Alternative models of exercise-based CR
  • Barriers to the exercise-based cardiac rehabilitation referral

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

12 pages, 562 KiB  
Article
Difference in Prognosis between Continuation and Discontinuation of A 5-Month Cardiac Rehabilitation Program in Outpatients with Heart Failure with Preserved Ejection Fraction
by Hidetaka Morita, Yasunori Suematsu, Kai Morita, Yuiko Yano, Maaya Sakamoto, Takuro Matsuda, Kouji Kaino, Reiko Teshima, Nobuyuki Ura, Masaomi Fujita, Rie Tazawa, Hironari Nakagawa, Ken Kitajima, Satoshi Kamada, Kanta Fujimi and Shin-ichiro Miura
J. Clin. Med. 2021, 10(15), 3306; https://doi.org/10.3390/jcm10153306 - 27 Jul 2021
Cited by 1 | Viewed by 1854
Abstract
Background: Cardiac rehabilitation (CR) is a requisite component of care for patients with heart failure (HF). We aimed to evaluate the clinical outcomes in outpatients with HF with preserved ejection fraction (HFpEF) compared to those in patients with non-HFpEF who did and did [...] Read more.
Background: Cardiac rehabilitation (CR) is a requisite component of care for patients with heart failure (HF). We aimed to evaluate the clinical outcomes in outpatients with HF with preserved ejection fraction (HFpEF) compared to those in patients with non-HFpEF who did and did not continue a 5-month CR program. Methods: 173 outpatients with HF who participated in a 5-month CR program were registered. We divided them into two groups: HFpEF (n = 84, EF 63 ± 7%) and non-HFpEF (n = 89, EF 31 ± 11%). We further divided the patients into those who continued the CR program (continued group) and those who did not (discontinued group) in the HFpEF and non-HFpEF groups. The clinical outcomes at 5 months were compared among the groups. Results: There were no significant differences in patient characteristics at baseline between the continued and discontinued groups in the HFpEF and non-HFpEF groups except for % diabetes mellitus in the non-HFpEF group. The rates of all-cause death and hospital admissions in the continued group in both the HFpEF and non-HFpEF groups were significantly lower than those in the discontinued group. The all-cause death and hospital admissions in each group were independently associated with the continuation of the CR program. Conclusions: The continuation of a 5-month CR program was associated with the prevention of all-cause death and hospital admissions in both the HFpEF and non-HFpEF groups. Full article
(This article belongs to the Special Issue Exercise-Based Cardiac Rehabilitation in Patients with Heart Failure)
Show Figures

Figure 1

13 pages, 265 KiB  
Article
Remote Monitoring of Cardiac Implantable Electronic Devices in Patients Undergoing Hybrid Comprehensive Telerehabilitation in Comparison to the Usual Care. Subanalysis from Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomised Clinical Trial
by Sławomir Pluta, Ewa Piotrowicz, Ryszard Piotrowicz, Ewa Lewicka, Wojciech Zaręba, Monika Kozieł, Ilona Kowalik, Michael J. Pencina, Artur Oręziak, Andrzej Cacko, Dominika Szalewska, Renata Główczyńska, Maciej Banach, Grzegorz Opolski, Piotr Orzechowski, Robert Irzmański and Zbigniew Kalarus
J. Clin. Med. 2020, 9(11), 3729; https://doi.org/10.3390/jcm9113729 - 20 Nov 2020
Cited by 6 | Viewed by 2507
Abstract
Background: The impact of cardiac rehabilitation on the number of alerts in patients with remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) is unknown. We compared alerts in RM and outcomes in patients with CIEDs undergoing hybrid comprehensive telerehabilitation (HCTR) versus usual [...] Read more.
Background: The impact of cardiac rehabilitation on the number of alerts in patients with remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) is unknown. We compared alerts in RM and outcomes in patients with CIEDs undergoing hybrid comprehensive telerehabilitation (HCTR) versus usual care (UC). Methods: Patients with heart failure (HF) after a hospitalization due to worsening HF within the last 6 months (New York Heart Association (NYHA) class I-III and left ventricular ejection fraction (LVEF) ≤40%) were enrolled in the TELEREH-HF study and randomised 1:1 to HCTR or UC. Patients with HCTR and CIEDs received RM (HCTR-RM). Patients with UC and CIEDs were offered RM optionally (UC-RM). Data from the initial 9 weeks of the study were analysed. Results: Of 850 enrolled patients, 208 were in the HCTR-RM group and 62 in the UC-RM group. The HCTR-RM group was less likely to have alerts of intrathoracic impedance (TI) decrease (p < 0.001), atrial fibrillation (AF) occurrence (p = 0.031) and lower mean number of alerts per patient associated with TI decrease (p < 0.0001) and AF (p = 0.019) than the UC-RM group. HCTR significantly decreased the occurrence of alerts in RM of CIEDs, 0.360 (95%CI, 0.189–0.686; p = 0.002), in multivariable regression analysis. There were two deaths in the HCTR-RM group (0.96%) and no deaths in the UC-RM group (p = 1.0). There were no differences in the number of hospitalised patients between the HCTR-RM and UC-RM group (p = 1.0). Conclusions: HCTR significantly reduced the number of patients with RM alerts of CIEDs related to TI decrease and AF occurrence. There were no differences in mortality or hospitalisation rates between HCTR-RM and UC-RM groups. Full article
(This article belongs to the Special Issue Exercise-Based Cardiac Rehabilitation in Patients with Heart Failure)
Back to TopTop