Exercise for heart failure inpatients: ERIC­HF programe

Delgado, Bruno; Lopes, Ivo; Gomes, Bárbara; Novo, André

Publication

Exercise for heart failure inpatients: ERICHF programe

2019Conference object

dc.contributor.author	Delgado, Bruno
dc.contributor.author	Lopes, Ivo
dc.contributor.author	Gomes, Bárbara
dc.contributor.author	Novo, André
dc.date.accessioned	2019-11-06T16:09:58Z
dc.date.available	2019-11-06T16:09:58Z
dc.date.issued	2019
dc.description.abstract	Decompensated Heart Failure (HF) patients are often characterized by dyspnea, fatigue, edema, functional dependence and impairment of performance in activities of daily living (ADL). Aerobic exercise training (AET) is a well establish cardiac rehabilitation intervention which leads to improvement of symptoms, promotes the functional capacity of the patients and even an increase of exercise tolerance. Although the benefits, exercise is not yet validated for inpatients during the phase of stabilization. Purpose: To evaluate the feasibility and safety of an AET program for patients admitted due to decompensated HF: ERIC-HF program Methods: Patients are randomized in training group (TG) or control (CG). Data include cardiovascular history, HF history and two functional tools: London Chest of Daily Living Activities (LCADL) and Barthel Index (BI). TG patients performed the ERIC-HF program twice a day for 6 days per week. ERIC-HF program is a supervised AET program, with increasing levels of intensity, divided into 5 stages (respiratory training, gait training and climbing stairs, for progressive duration periods). Vital signs are evaluated before and immediately after the exercise, as well as the Borg Modified Perceived Exertion. CG patients performed physical activity in accordance with their preference, always supervised too . At discharge, all patients perform a six-minute walking test (6MWT) and evaluation of LCADL and BI. Results: 100 patients were randomized (50 in each group) with na average of age of 71 (±11) years old, 61 are male, 80% are in NYHA class III. At admission, both groups have the same level of functional dependence. TG patients performed a global amount of 573 sessions of exercise. At discharge, TG patients presented lower LCADL score, higher BI score and a 54 meters difference on the 6MWT (statistically significant) which represents a better functional capacity. Absense of adverse events like falls, precordial pain or worsening of clinical state. Conclusions: ERIC-HF program is safe and promotes functional capacity. We can also conclude that probably AET is safe and viable, for this kind of patients. No other study of our knowledge, has demonstrated this findings.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Delgado, Bruno; Lopes, Ivo; Gomes, Bárbara; Novo, André (2019). Exercise for heart failure inpatients: ERIC¬HF programe. In EuroHeartCare. Milão	pt_PT
dc.identifier.uri	http://hdl.handle.net/10198/19784
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	EuroHeartCare - European Society of Cardiology	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	Heart failure	pt_PT
dc.subject	Exercise	pt_PT
dc.subject	Rehabilitation	pt_PT
dc.subject	Functional capacity	pt_PT
dc.title	Exercise for heart failure inpatients: ERICHF programe	pt_PT
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.conferencePlace	Milão	pt_PT
oaire.citation.title	EuroHeartCare	pt_PT
person.familyName	Novo
person.givenName	André
person.identifier	H-1386-2012
person.identifier.ciencia-id	7D14-8584-AB2B
person.identifier.orcid	0000-0001-8583-0406
person.identifier.scopus-author-id	612710
rcaap.rights	openAccess	pt_PT
rcaap.type	conferenceObject	pt_PT
relation.isAuthorOfPublication	f17cfa22-2a97-4396-bdc6-4570baee6885
relation.isAuthorOfPublication.latestForDiscovery	f17cfa22-2a97-4396-bdc6-4570baee6885