Congestive heart failure and exercise
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ACC/AHA Guideline Recommendations
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Congestive heart failure and exercise On the Web |
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Risk calculators and risk factors for Congestive heart failure and exercise |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S. [2]
Overview
- Patient should have uninterrupted exercise at least four days a week including a walking program.
- Patients with heart failure should avoid weightlifting which increases afterload.
- The patient should not routinely lift more than 20 pounds, again which may increase afterload.
- Patients can continue their sexual activity. 2.5 or 5.0 mg of sublingual nitroglycerine can be taken before sexual activity to improve exercise capacity.
Contributory risk and Management of Comorbidities of Hypertension, obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure: A Scientific Statement From the American Heart Association (2016)
Initial Clinical Assessment of Patients Presenting With Heart Failure (DO NOT EDIT) [1][2]
Class I |
"1. In patients presenting with heart failure, initial assessment should be made of the patient’s ability to perform routine and desired activities of daily living. (Level of Evidence: C)" |
Serial Clinical Assessment of Patients Presenting With Heart Failure (DO NOT EDIT) [1][2]
Class I |
"1. Assessment should be made at each visit of the ability of a patient with heart failure to perform routine and desired activities of daily living. (Level of Evidence: C)" |
Exercise training in Patients Presenting With Heart Failure (DO NOT EDIT) [1][2]
Class I |
"1. Exercise or regular physical activity is ben- eficial in prevention of CVD and HF.[3][4][5][6] (Level of Evidence: B)" |
Class IIa |
"1. Maximal exercise testing with or without measurement of respiratory gas exchange is reasonable to facilitate prescription of an appropriate exercise program for patients presenting with heart failure. (Level of Evidence: C)" |
Vote on and Suggest Revisions to the Current Guidelines
Guidelines Resources
- The ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult [1]
- 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation [2]
References
- ↑ 1.0 1.1 1.2 1.3 Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS, Ganiats TG, Jessup M, Konstam MA, Mancini DM, Michl K, Oates JA, Rahko PS, Silver MA, Stevenson LW, Yancy CW, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B; American College of Cardiology; American Heart Association Task Force on Practice Guidelines; American College of Chest Physicians; International Society for Heart and Lung Transplantation; Heart Rhythm Society. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation. 2005 Sep 20; 112(12): e154-235. Epub 2005 Sep 13. PMID 16160202
- ↑ 2.0 2.1 2.2 2.3 Jessup M, Abraham WT, Casey DE, Feldman AM, Francis GS, Ganiats TG et al. (2009) 2009 focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 119 (14):1977-2016. DOI:10.1161/CIRCULATIONAHA.109.192064 PMID: 19324967
- ↑ Nilsson BB, Westheim A, Risberg MA (2008). "Effects of group-based high-intensity aerobic interval training in patients with chronic heart failure". The American Journal of Cardiology. 102 (10): 1361–5. doi:10.1016/j.amjcard.2008.07.016. PMID 18993156. Retrieved 2012-04-05. Unknown parameter
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ignored (help) - ↑ Mueller L, Myers J, Kottman W, Oswald U, Boesch C, Arbrol N, Dubach P (2007). "Exercise capacity, physical activity patterns and outcomes six years after cardiac rehabilitation in patients with heart failure". Clinical Rehabilitation. 21 (10): 923–31. doi:10.1177/0269215507079097. PMID 17981851. Retrieved 2012-04-05. Unknown parameter
|month=
ignored (help) - ↑ Dracup K, Evangelista LS, Hamilton MA, Erickson V, Hage A, Moriguchi J, Canary C, MacLellan WR, Fonarow GC (2007). "Effects of a home-based exercise program on clinical outcomes in heart failure". American Heart Journal. 154 (5): 877–83. doi:10.1016/j.ahj.2007.07.019. PMID 17967593. Retrieved 2012-04-05. Unknown parameter
|month=
ignored (help) - ↑ Jónsdóttir S, Andersen KK, Sigurosson AF, Sigurosson SB (2006). "The effect of physical training in chronic heart failure". European Journal of Heart Failure. 8 (1): 97–101. doi:10.1016/j.ejheart.2005.05.002. PMID 16194620. Retrieved 2012-04-05. Unknown parameter
|month=
ignored (help)