Abstract
Background The aim of this study was to evaluate the effect of exercise training on cardiac function in heart failure (HF) patients recently suffering from acute decompensation. Radionuclide ambulatory ventricular function monitoring (VEST) was used to detect variations in cardiac hemodynamics during training period. Methods This was a monocentric, randomized, controlled trial. We enrolled 72 HF patients [left ventricle ejection fraction (LVEF) < 40%] within two weeks after acute cardiogenic pulmonary edema: 40 in the elderly group, 32 in the middle-aged group. Trained patients underwent a specific four-weeks exercise program (closed-chain resistive activities and abdominal exercises) which was supervised by a therapist in agreement with patients’ characteristics. Catecholamines at rest, echocardiography, right-heart catheterization, and bicycle ergometer were performed. VEST was performed at the end of the 4 weeks-training in all patients in order to assess patients’ cardiac hemodynamics [LVEF, cardiac output (CO), stroke volume]. Results Exercise training significantly improved exercise duration, peak oxygen consumption, and ventilatory threshold both in elderly and middle-aged patients (p < 0.0001) after the 4-week controlled training. Despite age (F = 35.086, p < 0.0001; F = 16.967, p < 0.0001; F = 42.574, p = 0.03, respectively), training reliably influence previous cardiopulmonary parameters (F = 29.402, F = 16.421, F = 26.80, p < 0.0001, respectively). Norepinephrine and epinephrine were significantly reduced in both trained groups. Peak LVEF (37.3 ± 4.7% vs 34 ± 6.2%, p = 0.002), peak stroke volume (43.3 ± 3.9% vs 37.5 ± 4.3%, p = 0.001), and peak CO (63.4 ± 6.1% vs 48.2 ± 4.7%, p < 0.0001) increased in middle-aged patients after 4-week training. Conclusions Exercise training improves cardiac performance indexes and pulmonary function in both middle-aged and elderly HF patients early after an acute episode of cardiac decompensation.
| Original language | English |
|---|---|
| Pages (from-to) | 313-323 |
| Number of pages | 11 |
| Journal | International Journal of Cardiology |
| Volume | 225 |
| DOIs | |
| Publication status | Published - Dec 15 2016 |
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Keywords
- Acute decompensation
- Elderly
- Exercise training
- Heart failure
- Middle age
ASJC Scopus subject areas
- Medicine(all)
- Cardiology and Cardiovascular Medicine
Cite this
Exercise training effects on elderly and middle-age patients with chronic heart failure after acute decompensation : A randomized, controlled trial. / Acanfora, Domenico; Scicchitano, Pietro; Casucci, Gerardo; Lanzillo, Bernardo; Capuano, Nicola; Furgi, Giuseppe; Acanfora, Chiara; Longobardi, Marialaura; Incalzi, Raffaele Antonelli; Piscosquito, Giuseppe; Ciccone, Marco Matteo.
In: International Journal of Cardiology, Vol. 225, 15.12.2016, p. 313-323.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Exercise training effects on elderly and middle-age patients with chronic heart failure after acute decompensation
T2 - A randomized, controlled trial
AU - Acanfora, Domenico
AU - Scicchitano, Pietro
AU - Casucci, Gerardo
AU - Lanzillo, Bernardo
AU - Capuano, Nicola
AU - Furgi, Giuseppe
AU - Acanfora, Chiara
AU - Longobardi, Marialaura
AU - Incalzi, Raffaele Antonelli
AU - Piscosquito, Giuseppe
AU - Ciccone, Marco Matteo
PY - 2016/12/15
Y1 - 2016/12/15
N2 - Background The aim of this study was to evaluate the effect of exercise training on cardiac function in heart failure (HF) patients recently suffering from acute decompensation. Radionuclide ambulatory ventricular function monitoring (VEST) was used to detect variations in cardiac hemodynamics during training period. Methods This was a monocentric, randomized, controlled trial. We enrolled 72 HF patients [left ventricle ejection fraction (LVEF) < 40%] within two weeks after acute cardiogenic pulmonary edema: 40 in the elderly group, 32 in the middle-aged group. Trained patients underwent a specific four-weeks exercise program (closed-chain resistive activities and abdominal exercises) which was supervised by a therapist in agreement with patients’ characteristics. Catecholamines at rest, echocardiography, right-heart catheterization, and bicycle ergometer were performed. VEST was performed at the end of the 4 weeks-training in all patients in order to assess patients’ cardiac hemodynamics [LVEF, cardiac output (CO), stroke volume]. Results Exercise training significantly improved exercise duration, peak oxygen consumption, and ventilatory threshold both in elderly and middle-aged patients (p < 0.0001) after the 4-week controlled training. Despite age (F = 35.086, p < 0.0001; F = 16.967, p < 0.0001; F = 42.574, p = 0.03, respectively), training reliably influence previous cardiopulmonary parameters (F = 29.402, F = 16.421, F = 26.80, p < 0.0001, respectively). Norepinephrine and epinephrine were significantly reduced in both trained groups. Peak LVEF (37.3 ± 4.7% vs 34 ± 6.2%, p = 0.002), peak stroke volume (43.3 ± 3.9% vs 37.5 ± 4.3%, p = 0.001), and peak CO (63.4 ± 6.1% vs 48.2 ± 4.7%, p < 0.0001) increased in middle-aged patients after 4-week training. Conclusions Exercise training improves cardiac performance indexes and pulmonary function in both middle-aged and elderly HF patients early after an acute episode of cardiac decompensation.
AB - Background The aim of this study was to evaluate the effect of exercise training on cardiac function in heart failure (HF) patients recently suffering from acute decompensation. Radionuclide ambulatory ventricular function monitoring (VEST) was used to detect variations in cardiac hemodynamics during training period. Methods This was a monocentric, randomized, controlled trial. We enrolled 72 HF patients [left ventricle ejection fraction (LVEF) < 40%] within two weeks after acute cardiogenic pulmonary edema: 40 in the elderly group, 32 in the middle-aged group. Trained patients underwent a specific four-weeks exercise program (closed-chain resistive activities and abdominal exercises) which was supervised by a therapist in agreement with patients’ characteristics. Catecholamines at rest, echocardiography, right-heart catheterization, and bicycle ergometer were performed. VEST was performed at the end of the 4 weeks-training in all patients in order to assess patients’ cardiac hemodynamics [LVEF, cardiac output (CO), stroke volume]. Results Exercise training significantly improved exercise duration, peak oxygen consumption, and ventilatory threshold both in elderly and middle-aged patients (p < 0.0001) after the 4-week controlled training. Despite age (F = 35.086, p < 0.0001; F = 16.967, p < 0.0001; F = 42.574, p = 0.03, respectively), training reliably influence previous cardiopulmonary parameters (F = 29.402, F = 16.421, F = 26.80, p < 0.0001, respectively). Norepinephrine and epinephrine were significantly reduced in both trained groups. Peak LVEF (37.3 ± 4.7% vs 34 ± 6.2%, p = 0.002), peak stroke volume (43.3 ± 3.9% vs 37.5 ± 4.3%, p = 0.001), and peak CO (63.4 ± 6.1% vs 48.2 ± 4.7%, p < 0.0001) increased in middle-aged patients after 4-week training. Conclusions Exercise training improves cardiac performance indexes and pulmonary function in both middle-aged and elderly HF patients early after an acute episode of cardiac decompensation.
KW - Acute decompensation
KW - Elderly
KW - Exercise training
KW - Heart failure
KW - Middle age
UR - http://www.scopus.com/inward/record.url?scp=84992075181&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992075181&partnerID=8YFLogxK
U2 - 10.1016/j.ijcard.2016.10.026
DO - 10.1016/j.ijcard.2016.10.026
M3 - Article
AN - SCOPUS:84992075181
VL - 225
SP - 313
EP - 323
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
ER -