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Heart failure

Support for exercise training in CHF

The results of HF-ACTION—the largest ever intervention trial of a nonpharmacological treatment for chronic heart failure—have been reported. The investigators randomly allocated participants to either a structured exercise program or to usual care. Although the primary end point was not reached at the prespecified significance level, the background evidence and data from previous trials and other prespecified analyses compel me to conclude that exercise training should be recommended for patients with stable chronic heart failure.

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References

  1. O'Connor, C. M. et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 301, 1439–1450 (2009).

    Article  CAS  Google Scholar 

  2. Flynn, K. E. et al. Effects of exercise training on health status in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA 301, 1451–1459 (2009).

    Article  CAS  Google Scholar 

  3. Clark, A. L., Poole-Wilson, P. A. & Coats, A. J. Exercise limitation in chronic heart failure: central role of the periphery. J. Am. Coll. Cardiol. 28, 1092–1102 (1996).

    Article  CAS  Google Scholar 

  4. Coats, A. J., Adamopoulos, S., Meyer, T. E., Conway, J. & Sleight P. Effects of physical training in chronic heart failure. Lancet 335, 63–66 (1990).

    Article  CAS  Google Scholar 

  5. Belardinelli, R., Georgiou, D., Cianci, G. & Purcaro, A. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. Circulation 99, 1173–1182 (1999).

    Article  CAS  Google Scholar 

  6. Piepoli, M. F., Davos, C., Francis, D. P. & Coats, A. J. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ 328, 189 (2004).

  7. Taylor, R. S. et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am. J. Med. 116, 682–692 (2004).

    Article  Google Scholar 

  8. McKelvie, R. S. et al. Effects of exercise training in patients with heart failure: the Exercise Rehabilitation Trial (EXERT). Am. Heart J. 144, 23–30 (2002).

    Article  Google Scholar 

  9. Crimi, E., Ignarro, L. J., Cacciatore, F. & Napoli, C. Mechanisms by which exercise training benefits patients with heart failure. Nat. Rev. Cardiol. 6, 292–300 (2009).

    Article  Google Scholar 

Download references

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Correspondence to Andrew J. S. Coats.

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Coats, A. Support for exercise training in CHF. Nat Rev Cardiol 6, 447–448 (2009). https://doi.org/10.1038/nrcardio.2009.96

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