Functional Capacity Based Rehabilitation of Patients with Chronic Stable Left Ventricular Heart Failure
Youssy Said Eshak;
Abstract
Heart failure is a physiological state in which cardiac output is insufficient to meet the needs of the body and lungs. Heart failure is a common, costly, and potentially fatal condition. In 2015, it affected about 40 million people globally.
Patients with HF always complain of reduced exercise capacity where reduced endurance seems to be the main limiting factor. Exercise capacity levels can vary extremely even in patients with the same degree of cardiac affection as measured by LVEF. Almost 20% of stable ambulatory patients with heart failure are affected by muscle wasting, manifested by decreased muscle strength and poor exercise capacity.
CPX is considered the most objective and sensitive method to assess exercise capacity in heart failure patients. Moreover, it is a valuable tool in identifying the response of patients to a given therapeutic intervention, as reflected by the change in CPX.
Because the pathophysiology of HF is multifactorial, variables that incorporate different mechanisms that may be underlying exercise intolerance in these patients may provide better risk stratification. The application of VE/VCO2, an easily derived variable from C
Patients with HF always complain of reduced exercise capacity where reduced endurance seems to be the main limiting factor. Exercise capacity levels can vary extremely even in patients with the same degree of cardiac affection as measured by LVEF. Almost 20% of stable ambulatory patients with heart failure are affected by muscle wasting, manifested by decreased muscle strength and poor exercise capacity.
CPX is considered the most objective and sensitive method to assess exercise capacity in heart failure patients. Moreover, it is a valuable tool in identifying the response of patients to a given therapeutic intervention, as reflected by the change in CPX.
Because the pathophysiology of HF is multifactorial, variables that incorporate different mechanisms that may be underlying exercise intolerance in these patients may provide better risk stratification. The application of VE/VCO2, an easily derived variable from C
Other data
| Title | Functional Capacity Based Rehabilitation of Patients with Chronic Stable Left Ventricular Heart Failure | Authors | Youssy Said Eshak | Issue Date | 2018 |
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