The primary goals of cardiac rehabilitation in heart failure are the respiratory physical therapy and the physical training of heart failure patients based on an individualized exercise program in order to decrease dyspnoea, enhance cardiorespiratory and muscular fitness and increase total physical capacity. Exercise prescription must define the appropriate modes, intensity, duration, frequency and rate of progress of the aerobic and resistance training. Structured and long term exercise programs must be an essential part of the overall clinical care of chronic heart failure syndrome, since they reduce morbidity and hospitalization, with a corresponding saving in treatment costs, and significantly improve quality of life heart failure patients.