Is Exercise Training Appropriate for Patients With Advanced Heart Failure Receiving Continuous Inotropic Infusion? A Review.
Is Exercise Training Appropriate for Patients With Advanced Heart Failure Receiving Continuous Inotropic Infusion? A Review.
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DOI：
10.1177/1179546817751438
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Taya M
中科院分区：
文献类型：
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作者：
Amiya E;Taya M
据报道，以运动为基础的康复计划对心力衰竭患者有有益的影响。然而，几乎没有证据表明更严重的心力衰竭患者是否如此。特别是，在临床环境中，是否应该为晚期心力衰竭和持续肌力输注的患者开出运动训练处方是一个问题。相比之下，许多研究得出的结论是，与心力衰竭相关的长时间不动会严重损害身体功能，促进肌肉萎缩，从而进一步加速心力衰竭的进程。相比之下，运动训练不仅在提高运动能力方面有不同的效果，而且对血管功能、骨骼肌和自主神经平衡也有影响。在这篇综述中，我们总结了运动训练在接受持续变力药物如多巴酚丁胺的晚期心力衰竭患者中的有效性并讨论了运动训练的方法。
Exercise-based rehabilitation programs have been reported to have beneficial effects for patients with heart failure. However, there is little evidence about whether this is the case in patients with more severe heart failure. In particular, there is a question in the clinical setting whether patients with advanced heart failure and continuous inotropic infusion should be prescribed exercise training. In contrast, many studies conclude that prolonged immobility associated with heart failure profoundly impairs physical function and promotes muscle wasting that could further hasten the course of heart failure. By contrast, exercise training has various effects not only in improving exercise capacity but also on vascular function, skeletal muscle, and autonomic balance. In this review, we summarize the effectiveness and discuss methods of exercise training in patients with advanced heart failure receiving continuous inotropic agents such as dobutamine.