PMID- 24069873
OWN - NLM
STAT- MEDLINE
DCOM- 20140421
LR  - 20130927
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 20
IP  - 3
DP  - 2013
TI  - Comprehensive rehabilitation in chronic heart failure.
PG  - 606-12
AB  - Chronic heart failure (CHF) is a complex disease process connected with 
      cardiovascular system as well as other organs and skeletal muscles. In connection 
      with the above, cardiac rehabilitation, consisting of exercise training and diet 
      supplementation, aims at recovery of physical, social and psychic function and 
      removing risk factors influencing the occurrence of circulatory system diseases. 
      Evidence has shown that exercise training in CHF patients, both aerobic and 
      resistance, can increase peak oxygen consumption and exercise capacity, improve 
      NYHA (New York Heart Association) functional class, reduce mortality and improve 
      the quality of life. Evidence suggests that most improvement is due to the 
      effects of training on the peripheral circulation and skeletal muscle, rather 
      than on the heart itself. Exercise training can improve skeletal muscle 
      metabolism, increase blood flow within the active skeletal muscles, increase 
      capillary density, promote the synthesis and release of nitric oxide, improve 
      angiogenesis, and decrease oxidative stress. Physical effort reduces sympathetic 
      arousal and increases parasympathetic arousal, thus reducing cardiac dysrythmia 
      and ischemia. Mitochondria start working harder, as the demand for energy is 
      higher and electron flow provides energy in the form of ATP. Studies have 
      consistently demonstrated that exercise training is safe and has no deleterious 
      effect on central haemodynamics, left ventricular remodeling, systolic or 
      diastolic function, or myocardial metabolism. Taking several supplements that 
      have documented roles in medical therapy, including vitamins B, C and E, coenzyme 
      Q10, alpha-lipoic acid, chromium, omega-3 polyunsaturated fatty acids, 
      L-carnitine, and quercetin, has beneficiary effect on many diseases, including 
      CHF. In our experience, 19 patients with CHF who undertook resistance (weight) 
      training and food supplementation, returned to their normal activities after 4 
      months, without any complaints.
FAU - Gasiorowski, Adam
AU  - Gasiorowski A
AD  - Physical Culture Centre, Maria Curie-Sklodowska University, Lublin, Poland.
FAU - Dutkiewicz, Jacek
AU  - Dutkiewicz J
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
SB  - IM
MH  - Chronic Disease/rehabilitation
MH  - *Exercise Therapy
MH  - Heart Failure/*diet therapy/*rehabilitation
MH  - Humans
EDAT- 2013/09/28 06:00
MHDA- 2014/04/22 06:00
CRDT- 2013/09/28 06:00
PHST- 2013/09/28 06:00 [entrez]
PHST- 2013/09/28 06:00 [pubmed]
PHST- 2014/04/22 06:00 [medline]
AID - 1067448 [pii]
PST - ppublish
SO  - Ann Agric Environ Med. 2013;20(3):606-12.