Exercise training for patients with cardiovascular disease

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Serval ID
serval:BIB_C1587D8AACAC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Exercise training for patients with cardiovascular disease
Journal
Ann Readapt Med Phys
Author(s)
Casillas J. M., Gremeaux V., Damak S., Feki A., Perennou D.
ISSN
0168-6054 (Print)
ISSN-L
0168-6054
Publication state
Published
Issued date
07/2007
Volume
50
Number
6
Pages
403-18, 386-402
Language
english
Notes
Casillas, J M
Gremeaux, V
Damak, S
Feki, A
Perennou, D
eng
fre
Review
Netherlands
Ann Readapt Med Phys. 2007 Jul;50(6):403-18, 386-402. doi: 10.1016/j.annrmp.2007.03.007. Epub 2007 Apr 2.
Abstract
This review surveys effort training, a validated and recommended therapy, in patients with atheromatous cardiovascular disease. This true therapy reduces mortality by 25-35%, reduces clinical manifestations and complications (rhythm problems, thrombosis) and improves physical capacity, reintegration and quality of life. The effects are essentially linked to improved metabolic performance of muscles and reduced endothelial dysfunction, insulin resistance and neurohormonal abnormalities. Training also has an impact on the evolution of major risk factors, especially diabetes and arterial hypertension. The risks are limited as long as the contraindications are respected and the programmes supervised. The indications (stable angina, chronic heart failure, peripheral arterial disease) should be described more precisely by taking into account functional criteria: physical deconditioning, exclusion, compliance, mood swings, and seriousness of risk factors. The training programme should be tailor made and based on evaluation of the patient's adaptation to effort, in terms of frequency, intensity and duration of the exercises. Various types of exercise include overall or segmental physical training; concentric, eccentric, even isokinetic muscle contraction exercises; and proprioceptive rehabilitation. However, knowledge is lacking about the molecular mechanisms of the effects of training, the most effective intensity of effort, and strategies to develop physical activity in this ever-growing population for both primary and secondary prevention.
Keywords
Cardiovascular Diseases/*therapy, Contraindications, *Exercise Therapy/adverse effects/methods, Humans, Risk Factors
Pubmed
Create date
26/11/2019 12:35
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06/05/2020 6:26
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