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  • Telesna vadba pri bolnikih s kroničnim srčnim popuščanjem = Physical training in patients with chronic heart failure
    Keber, Irena ; Gužič-Salobir, Barbara
    Physical inactivity that used to be advised to patients with chronic heart failure (CHF) not so long ago, contributes to their poor exercise capacity which js characteristic of these patients. ... Regular physical training has proved to improve their peak oxygen cansumption and submaximal work capacity. This is achieved mainly by peripheral adaptations in skeletal muscles and peripheral blood flow distribution, while no changes in left ventricular systolic function have been observed after physical training. Only patients with stable compensated CHF could be included in training program, consideringalso all other established contraindications for exercise training.The intensity of physical activity and the duration of supervision should be individually prescribed. Aerobic activity is used most frequently, and 50 to 70% of peak oxygen consumption which corresponds to 60 to 80% of peak heart rate is prescribed for training intensity. There are still many unanswered questions regarding physical training of CHF patients. It is not clear which patients are benefiting the most. There is also still not enough evidence how safe training is for CHF patients due to valvular regurgitation, and whether it could lead to malignant arrhythmia or how it affects the prognosis of CHF patients. In spite of these unresolved facts, it is wise evennow to advise physical training to stable patients with CHF due to ischaemic or dilative cardiomyopathy, since it can significantly improve theirquality of life.
    Vir: Srčno popuščanje (str. 175-179)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2001
    Jezik - slovenski
    COBISS.SI-ID - 13336025

vir: Srčno popuščanje (str. 175-179)

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