Exercise and cardiac rehabilitation in hypertensive patients with heart failure with preserved ejection fraction : A position statement on behalf of the Working Group of Arterial Hypertension of the Hellenic Society of Cardiology

Copyright © 2023. Published by Elsevier Inc..

Arterial hypertension is a major cause of cardiovascular morbidity and mortality and the most common cause of comorbidity in heart failure (HF) with preserved ejection fraction (HFpEF). As an adjunct to medication, healthy lifestyle modifications with emphasis on regular exercise are strongly recommended by both the hypertension and the HF guidelines of the European Society of Cardiology. Several long-term studies have shown that exercise is associated with a reduction in all-cause mortality, a favorable cardiac and metabolic risk profile, mental health, and other non-cardiovascular benefits, as well as an improvement in overall quality of life. However, the instructions for the prescriptive or recommended exercise in hypertensive patients and, more specifically, in those with HFpEF are not well defined. Moreover, the evidence is based on observational or small randomized studies, while well-designed clinical trials are lacking. Despite the proven benefit and the guidelines' recommendations, exercise programs and cardiac rehabilitation in patients with hypertensive heart disease and HFpEF are grossly underutilized. This position statement provides a general framework for exercise and exercise-based rehabilitation in patients with hypertension and HFpEF, guides clinicians' rehabilitation strategies, and facilitates clinical practice. It has been endorsed by the Working Group of Arterial Hypertension of the Hellenic Society of Cardiology and is focused on the Health Care System in Greece.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:75

Enthalten in:

Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese - 75(2024) vom: 05. Jan., Seite 82-92

Sprache:

Englisch

Beteiligte Personen:

Kallistratos, Manolis [VerfasserIn]
Konstantinidis, Dimitriοs [VerfasserIn]
Dimitriadis, Kyriakos [VerfasserIn]
Sanidas, Elias [VerfasserIn]
Katsi, Vasiliki [VerfasserIn]
Androulakis, Emmanouil [VerfasserIn]
Vlachopoulos, Charalambos [VerfasserIn]
Toutouzas, Konstantinos [VerfasserIn]
Kanakakis, John [VerfasserIn]
Sideris, Skevos [VerfasserIn]
Kafkas, Nikolaos [VerfasserIn]
Mavrogianni, Angeliki Despoina [VerfasserIn]
Papadopoulos, Constantinos H [VerfasserIn]
Stefanidis, Alexandros [VerfasserIn]
Patsourakos, Nikolaos [VerfasserIn]
Kachrimanidis, Ioannis [VerfasserIn]
Papaioannou, Nikolaos [VerfasserIn]
Tsioufis, Costas [VerfasserIn]
Kochiadakis, George [VerfasserIn]
Marketou, Maria [VerfasserIn]

Links:

Volltext

Themen:

Exercise
Heart failure with preserved ejection fraction
Hypertension
Letter
Rehabilitation

Anmerkungen:

Date Completed 05.03.2024

Date Revised 05.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.hjc.2023.08.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361182406