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Central European Journal of Sport Sciences and Medicine
Vol. 21, No. 1/2018
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Cardiac Rehabilitation in Heart Failure. Part I, Mechanism

DOI: 10.18276/cej.2018.1-02
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ISSN:2300-9705
eISSN:2353-2807
Autoren: Agnieszka Kujawska
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Jakub Husejko
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Agata Marszałek
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Żaneta Szczęśniak
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Weronika Topka
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Małgorzata Gajos
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Joanna Androsiuk-Perkowska
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Radosław Perkowski
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Natalia Skierkowska
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland

Sławomir Kujawski
Faculty of Health Sciences, Department of Hygiene, Epidemiology and Ergonomics, Division of Ergonomics and Exercise Physiology, Nicolaus Copernicus University in Torun, Poland

Kornelia Kędziora-Kornatowska
Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University in Torun, Poland
Schlüsselbegriffe: heart failure cardiac rehabilitation exercise training pathophysiology
Erscheinungsdatum der Ausgabe / Monografie:2018-03-30
Seitenanzahl:9 (13-21)
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Abstract

Introduction Diagnosis and treatment issues among heart failure (HF) patients are becoming one of the most important points in public health of developed countries, largely due to the aging of population and the fact that HF affects mainly the elderly. In this review we would like to focus on pathophysiology of exercise intolerance in patients with heart failure and potential benefits of cardiac rehabilitation (CR). Material and Methods Analysis of articles in the EBSCO database using keywords: heart failure, cardiac rehabilitation, exercise training, pathophysiology. Results HF can be described as a composite syndrome which results from structural or functional impairment of ventricular filling or blood ejection. Patients have variety of symptoms which usually are nonspecific. The most frequently occurring symptoms of HF are dyspnea and fatigue, which may restrict exercise capacity, and fluid retention. There are many possible pathophysiological factors involved in the development of exercise intolerance. Based on the available literature pathological changes in central hemodynamic function, pulmonary system, skeletal muscles, endothelial function and neurohumoral system can be distinguished. They play a crucial role in the pathogenesis of HF symptoms and represent a potential curative object. Conclusions HF patients are characterized by diminished functional performance. Exercise training has many potential profits in patients with heart failure, including an increase in peak oxygen uptake, improvement in central hemodynamics, peripheral vascular and skeletal muscle function and has become part of evidence-based clinical therapy in these patients.

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