Journal
CURRENT PHARMACEUTICAL DESIGN
Volume 29, Issue 7, Pages 494-501Publisher
BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1381612829666230217145100
Keywords
Exercise training; exercise capacity; ejection fraction; myocardial function; quality of life; mortality
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Exercise-based cardiac rehabilitation (EBCR) is a well-established treatment modality for heart failure patients, offering numerous benefits and improving their quality of life. Despite historical barriers, alternative delivery methods such as telerehabilitation and focus on behavioral change are emerging. This review provides an overview of exercise training modalities, benefits, barriers, and future progress in EBCR.
Exercise-based cardiac rehabilitation (EBCR) is a treatment modality for patients with heart failure (HF) that has withstood the test of time. It has continued to show benefits even in the current era of pharmacotherapeutics for HF. Participation in a multidisciplinary comprehensive EBCR programme reduces mortality and morbidity, has a multitude of physiological benefits, and improves cardiovascular risk factor control and quality of life. Despite this, historical barriers to enrolment and uptake remain. Strategies to overcome these, as well as alternative delivery methods of EBCR in HF patients, are emerging and include telerehabilitation, focus on special groups and emphasis on behavioural change. This review provides oversight on the modalities of exercise training in HF as well as their benefits and gives an overview of barriers to the utilisation of EBCR along with future progress in the field.
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