Cardiac Rehabilitation

Author:

Sarana Andrey M.ORCID,Kamilova Tatyana A.ORCID,Lebedeva Svetlana V.,Vologzhanin Dmitry A.ORCID,Golota Alexander S.ORCID,Makarenko Stanislav V.ORCID,Apalko Svetlana V.ORCID

Abstract

Cardiac rehabilitation based on exercise therapy is a valuable treatment for patients with a broad spectrum of cardiovascular diseases. Current guidelines support its use in patients with stable chronic heart failure and coronary artery disease, after myocardial infarction, acute coronary syndrome, coronary artery bypass grafting, coronary stent placement, and valve surgery. Its use in these conditions is supported by a robust body of research demonstrating improved clinical outcomes. The significant clinical improvement obtained through the regular training in patients with cardiovascular diseases is the result of a complex interplay of different effects: 1) improved cardiopulmonary efficiency and pulmonary functional capacity; 2) amelioration of myocardial perfusion by reducing endothelial dysfunction and by inducing new vessel formation; 3) improved myocardial contractility; 4) counteract the muscle wasting and cachexia; 5) reduction of the systemic inflammation; 6) attenuation of the sympathoexcitation, a typical feature of CHF, even in the persistence of cardiac dysfunction. Despite this evidence, cardiac rehabilitation referral and attendance remains low and interventions to increase its use need to be developed.

Publisher

Federal Research and Clinical Center for Resuscitation and Rehabilitation

Subject

General Medicine

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Cardiac rehabilitation: investigation of efficacy, results, perspectives;Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul'tury;2023

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