Ο ρόλος της άσκησης στην αντιμετώπιση της καρδιακής ανεπάρκειας

dc.contributor.author	Παπαθανασίου, Γεώργιος	el
dc.contributor.author	Τσάμης, Νικόλαος	el
dc.contributor.author	Αδαμόπουλος, Σταμάτης	el
dc.date.accessioned	2015-01-23T13:08:34Z
dc.date.available	2015-01-23T13:08:34Z
dc.date.issued	2015-01-23
dc.identifier.uri	http://hdl.handle.net/11400/4606
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.subject	Άσκηση
dc.subject	Καρδιακή ανεπάρκεια
dc.subject	Καρδιοαγγειακή φυσικοθεραπεία
dc.subject	Exercise
dc.subject	Heart failure
dc.subject	Cardiac rehabilitation
dc.title	Ο ρόλος της άσκησης στην αντιμετώπιση της καρδιακής ανεπάρκειας	el
dc.title	The role of exercise in heart failure	en
heal.type	journalArticle
heal.generalDescription	Είναι τριμηνιαία έκδοση Ιανουάριος-Φεβρουάριος-Μάρτιος.	el
heal.generalDescription	Το άρθρο έχει δημοσιευθεί και στα αγγλικά στο περιοδικό Physiotherapy με εκδότη την Elsevier	el
heal.classification	Medicine
heal.classification	Cardiology
heal.classification	Ιατρική
heal.classification	Καρδιολογία
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85020214
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Καρδιολογία
heal.language	el
heal.access	free
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας.Τμήμα Φυσικοθεραπείας	el
heal.publicationDate	2009-03
heal.bibliographicCitation	Παπαθανασίου, Γ., Τσάμης, Ν. και Αδαμόπουλος, Σ. (2009) Ο ρόλος της άσκησης την αντιμετώπιση της καρδιακής ανεπάρκειας. Θέματα φυσικοθεραπείας. 5(5), σσ.4-11.	el
heal.abstract	Exercise training in patients with systolic heart failure (HF) is an accepted adjunct to an evidence-based management program. This review describes the pathophysiologic features that are thought to be responsible for the exercise intolerance experienced in the HF patient. Significant research has expanded our appreciation of the interplay of hemodynamic, ventilatory, and skeletal myopathic processes in this common, chronic condition. Randomized, controlled exercise trials designed to measure endothelial function, inflammatory markers, sympathetic neural activation, and skeletal muscle metabolism and structure have further defined the pathophysiology, documented the impact of exercise training on these processes, and confirmed the benefit of this therapy. Consistent with prior clinical research and patient experience are the recently published results of the HF-ACTION (Heart Failure-A Controlled Trial Investigating Outcomes of exercise TraiNing), which demonstrated a modest improvement in exercise capacity, reduction of symptoms, and improved self-reported measures of quality of life without adverse events. Consideration is given in this review to the benefits of variable intensity programs and the addition of resistance exercise to a standard aerobic prescription. Despite increasing validation of the role exercise training plays in the modification of exercise intolerance, challenges remain in its routine therapeutic application, including acceptance and use as an adjunctive intervention in the management of the patient with HF, limited insurance coverage for HF patients in cardiac rehabilitation, tailoring of exercise programs to best address the needs of subgroups of patients, and improved short- and long-term adherence to exercise training and a physically active lifestyle.	en
heal.journalName	Θέματα φυσικοθεραπείας	el
heal.journalType	peer-reviewed
heal.fullTextAvailability	true