scholarly journals Heart failure and promotion of physical activity before and after cardiac rehabilitation (HF‐aPProACH): a study protocol

2021 ◽  
Author(s):  
Marlou A.M. Limpens ◽  
Muhammed T. Gürgöze ◽  
Mattie J. Lenzen ◽  
Stefan Roest ◽  
Trudy Voortman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Study Protocol ◽  
Before And After ◽  
Promotion Of Physical Activity

“I Just Can't Do It Anymore”: Patterns of Physical Activity and Cardiac Rehabilitation Referral in African Americans with Heart Failure

2011 ◽  
Vol 17 (8) ◽  
pp. S5
Author(s):  
Margaret M. McCarthy ◽  
Alexandra Howe ◽  
Judith Schipper ◽  
Jaime Gonzalez ◽  
Stuart Katz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
African Americans ◽  
Cardiac Rehabilitation

scholarly journals The Usefulness of Impedance Cardiography for Predicting Beneficial Effects of Cardiac Rehabilitation in Patients with Heart Failure

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Grzegorz Gielerak ◽  
Paweł Krzesiński ◽  
Ewa Piotrowicz ◽  
Ryszard Piotrowicz
Keyword(s):  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Exercise Tolerance ◽  
Impedance Cardiography ◽  
The Other ◽  
Pronounced Increase ◽  
Fluid Content ◽  
Beneficial Effects ◽  
Patients With Heart Failure ◽  
Before And After

Aim. Cardiac rehabilitation (CR) is an important part of heart failure (HF) treatment. The aim of this paper was to evaluate if thoracic fluid content (TFC) measured by impedance cardiography (ICG) is a useful parameter for predicting the outcome of CR.Methods. Fifty HF patients underwent clinical and noninvasive haemodynamic (TFC) assessments before and after 8-week CR.Results. As a result of CR, the patients’ exercise tolerance improved, especially in terms of peak VO2(18.7 versus 20.8 mL × kg−1× min−1;P=0.025). TFC was found to identify patients with significantly improved peak VO2after CR. “High TFC” patients (TFC > 27.0 kOhm−1), compared to those of “low TFC” (TFC < 27.0 kOhm−1), were found to have more pronounced increase in peak VO2(1.3 versus 3.1 mL × kg−1× min−1;P=0.011) and decrease in TFC (4.0 versus 0.7 kOhm−1;P<0.00001). On the other hand, the patients with improved peak VO2(n=32) differed from those with no peak VO2improvement in terms of higher baseline TFC values (28.4 versus 25.3 kOhm−1;P=0.039) and its significant decrease after CR (2.7 versus 0.2 kOhm−1;P=0.012).Conclusions. TFC can be a useful parameter for predicting beneficial effects of CR worth including in the process of patients’ qualification for CR.

scholarly journals Role and efficacy of cardiac rehabilitation in patients with heart failure

2019 ◽  
Vol 89 (1) ◽  
Author(s):  
Maria Teresa La Rovere ◽  
Egidio Traversi
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
High Risk ◽  
Cardiac Rehabilitation ◽  
Acute Decompensated Heart Failure ◽  
Care Service ◽  
Decompensated Heart Failure ◽  
The Elderly ◽  
Outpatient Basis ◽  
Patients With Heart Failure

Despite improvements in treatments, the prognosis of heart failure remains poor. Elderly patients with heart failure are burdened with multiple co-morbidities and polypharmacy. Multidisciplinary disease-management programs are recommended as standard care for patients at high risk of hospitalization. Cardiac rehabilitation is defined a coordinated multidimensional intervention that integrates the basic elements in multidisciplinary management programs with a continuing program of physical activity and exercise training. Cardiac rehabilitation services can be provided on an inpatient or outpatient basis according to the clinical characteristics and severity of the disease. Data support the usefulness of inpatient cardiac rehabilitation interventions soon after hospitalization for acute decompensated heart failure as a “transition care service” to overcome the particularly high risk “vulnerable” phase. Although in the elderly, physical activity is conditioned by the general clinical conditions, the presence of comorbidities and frailty, several data underscore the importance of improving exercise capacity in the elderly vulnerable patient.

scholarly journals Early Increased Physical Activity, Cardiac Rehabilitation, and Survival After Implantable Cardioverter-Defibrillator Implantation

2021 ◽  
Author(s):  
Brett D. Atwater ◽  
Zhen Li ◽  
Jessica Pritchard ◽  
Melissa A. Greiner ◽  
Yelena Nabutovsky ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Propensity Scores ◽  
Time Frame ◽  
Hazard Ratio ◽  
Implantable Cardioverter Defibrillators ◽  
Medicare Beneficiaries ◽  
Icd Implantation ◽  
All Cause Mortality

Background: Increased physical activity (PA) through cardiac rehabilitation (CR) improves outcomes in patients with heart failure and coronary disease, but CR referral remains infrequent. Implantable cardioverter-defibrillators (ICDs) can provide daily PA measurements to patients that may motivate them to increase PA, but it remains unclear if increased ICD measured PA is associated with improved outcomes with and without CR. Methods: This is a retrospective observational study of 41 731 Medicare beneficiaries with ICD implantation between January 1, 2014 and December 31, 2016. We linked daily ICD PA measurements and Medicare claims data to determine if increased PA is associated with a reduction in the likelihood of death or heart failure hospitalization. To determine if CR participation altered the effect of PA on outcomes, we performed two additional analyses matching CR participants and nonparticipants using propensity scores. The first match included demographics, comorbidities, and baseline PA measurements. The second match also included the change in PA measured during CR or the same time frame after ICD implant among nonparticipants. Results: The mean age was 75 (SD, 10) years, 30 182 beneficiaries (72.3%) were male, and 1324 (3%) participated in CR. Increased ICD detected PA was associated with improved survival. CR participants had a mean PA change of +9.7 (SD, 57.8) min/d, whereas nonparticipants had a mean change of −1.0 (SD, 59.7) min/d ( P <0.001). After matching for demographics, comorbidities and baseline PA, CR participants had significantly lower 1- to 3-year mortality (hazard ratio, 0.76 [95% CI, 0.69–0.85], P =0.03). After additionally matching for the ICD measured change in PA during CR there were no differences in mortality with and without CR (hazard ratio, 1.00 [95% CI, 0.82–1.21], P =0.87). Every 10 minutes of increased daily PA was associated with a 1.1% reduction in all-cause mortality in both groups. Conclusions: Among Medicare beneficiaries with ICDs, small increases in PA were associated with significant reductions in all-cause mortality.

Exercise capacity, physical activity patterns and outcomes six years after cardiac rehabilitation in patients with heart failure

2007 ◽  
Vol 21 (10) ◽  
pp. 923-931 ◽  
Author(s):  
Lionel Mueller ◽  
Jonathan Myers ◽  
Wilhard Kottman ◽  
Ulrike Oswald ◽  
Claudia Boesch ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Cardiac Rehabilitation ◽  
Exercise Capacity ◽  
Activity Patterns ◽  
Physical Activity Patterns ◽  
Patients With Heart Failure

scholarly journals Protective effect of physical activity on mortality in older adults with advanced chronic heart failure: A prospective observational study

2018 ◽  
Vol 26 (5) ◽  
pp. 481-488 ◽  
Author(s):  
Francesco Cacciatore ◽  
Cristiano Amarelli ◽  
Nicola Ferrara ◽  
Elisabetta Della Valle ◽  
Francesco Curcio ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
Elderly Patients ◽  
Cardiac Rehabilitation ◽  
Physical Activity Level ◽  
Hazard Rate ◽  
Nyha Class ◽  
Advanced Heart Failure ◽  
Activity Level ◽  
Heart Failure Decompensation

Objectives The objective of this study was to evaluate the effect on mortality of self-reported physical activity evaluated by the physical activity scale for the elderly (PASE) in elderly patients with advanced heart failure enrolled in a cardiac rehabilitation unit after heart failure decompensation (NYHA class IIIB). Methods The study prospectively enrolled 314 elderly patients (≥65 years) with heart failure in NYHA class IIIB (symptomatic with a recent history of dyspnoea at rest) consecutively admitted to cardiac rehabilitation between January 2010 and July 2011. Comprehensive geriatric assessment was performed. Physical activity was evaluated by PASE and stratified in tertiles (0–15, 16–75 and >75). Mortality was collected from September to October 2015 in 300 patients. Results The mean age was 74.5 ± 6.1 (range 65–89); 74.7% were men, 132 patients (44.0%) died during the follow-up (44.1 ± 20.7 months). Univariate analysis shows that physical activity level conducted before heart failure decompensation was inversely related to mortality (from 76.0% to 8.2%, P = 0.000). Multivariate analysis confirms that the PASE score predicts mortality independently of several demographic and clinical variables (hazard rate 0.987, 95% confidence interval (CI) 0.980–0.994, P = 0.000). Notably, when considering PASE 0–15 versus 16–75 score and PASE 0–15 versus > 75 score, the hazard rate is 4.06 (95% CI 1.67–9.84, P < 0.001) and 7.25 (95% CI 2.7–19.5, P < 0.001), respectively. Conclusions Physical activity level evaluated by the PASE score is inversely related to mortality in elderly patients with advanced heart failure confirming the reduction of mortality exerted by moderate physical activity in such patients.

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