Exercise Training Post Cardiac Resynchronization Therapy Improves Exercise Tolerance and Quality of Life

摘要

Background: Cardiac resynchronization therapy (CRT) results in improved morbidity, mortality, symptoms, quality of life (QOL) and exercise capacity, in appropriate chronic heart failure (CHF) patients. Moreover, combined exercise training (ET) and CRT maximize these improvements in these patients. The study evaluated the effect of ET on these patients in terms of QOL, functional class, exercise capacity and left ventricular ejection fraction (LVEF). Results: There were significant improvements in the QOL, functional class, exercise capacity, and LVEF compared with the Control Group. Comparison of both groups confirmed the cumulative effects of ET with CRT. The QOL improved by the end of training in the exercise group (p = 0.001), compared to the Control Group (p style="font-family:Verdana;"> style="font-family:Verdana;">= style="font-family:Verdana;"> style="font-family:Verdana;">0.850). NYHA functional class improved significantly in the Exercise Group (p style="font-family:Verdana;"> style="font-family:Verdana;">= style="font-family:Verdana;"> style="font-family:;" "=""> style="font-family:Verdana;">0.013). Percent-predicted peak oxygen consumption (VO _{style="font-size:12px;font-family:Verdana;">2} style="font-family:Verdana;"> peak) had significantly improved in the trained (p style="font-family:Verdana;"> style="font-family:Verdana;">/span> style="font-family:Verdana;"> style="font-family:Verdana;">0.001) versus the untrained CRT Group (p style="font-family:;" "=""> style="font-family:Verdana;">= style="font-family:Verdana;"> style="font-family:Verdana;">0.596). There was a mean percent rise of the ejection fraction from 39.2 style="font-family:Verdana;"> style="font-family:Verdana;">± style="font-family:Verdana;"> style="font-family:Verdana;">12.86 to 44.40 style="font-family:Verdana;">% style="font-family:Verdana;">± style="font-family:Verdana;"> style="font-family:;" "=""> style="font-family:Verdana;">14.42% in the Exercise Group compared to a non-significant change in the Control Group. style="font-family:Verdana;">Conclusion: style="font-family:Verdana;"> ET in resynchronized CHF patients is feasible and further enhances QOL and exercise tolerance in addition to the improvements seen after CRT. The study therefore recommends for the prescription of ET after implantation in order to maximize the expected benefit.