Skip to main content
Home
Zeitschriften
Zeitungen
Podcast
Gesundheitspolitik
Praxis
Allerlei
Jobs
Fachgebiete
Allgemeinmedizin Anästhesiologie & Intensivmedizin Apotheke Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kinder & Jugendheilkunde Neurologie & Psychiatrie Orthopädie & Unfallchirurgie Pflege Urologie Zahnmedizin
Subfächer Innere Medizin
Diabetologie Gastroenterologie Infektiologie Kardiologie Onkologie und Hämatologie Pneumologie Rheumatologie
Fortbildungen
Überblick Fortbildungen DFP-Literaturstudium-Artikel DFP-Webcast Fortbildungen DFP-Podcasts
Erweiterte Suche
Anmelden
nach oben
Wiener Medizinische Wochenschrift
Erschienen in:

02.10.2017 | themenschwerpunkt

Rehabilitation bei Herzinsuffizienz

verfasst von: Prim. Priv.-Doz. Dr. Johann Altenberger

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 1-2/2018

Einloggen, um Zugang zu erhalten

Zusammenfassung

Herzinsuffizienz ist eine prognostisch relevante und epidemiologisch bedeutsame Erkrankung mit hohem Kostenfaktor. In der Genese der Belastungsintoleranz spielt die skelettmuskuläre Myopathie eine relevante Rolle. Rehabilitation bei Herzinsuffizienz adressiert vor allem die medizinische Trainingstherapie zur Stärkung und Konditionierung der Skelettmuskulatur und wird von den kardiologischen Fachgesellschaften mit einer Klasse IA-Indikation versehen. Trainingsmethodisch wird ein moderates kontinuierliches Ausdauertraining oder Intervalltraining mit Krafttraining kombiniert. Einem multimodalen Ansatz entsprechend wird auch Augenmerk auf die Optimierung der neurohumoralen Therapie sowie die Beratung und Schulung der Patienten zur Stärkung der Selbstkompentenz sowie der psychosozialen Unterstützung gelegt.
Vorheriger Artikel Sekundärpräventive Antiplättchentherapie in der kardiologischen Rehabilitation
Nächster Artikel Psychokardiologie in der stationären Rehabilitation
Literatur
1.
Ades PH. Temporal trends and factors associated with cardiac rehabilitation referral among patients hospitalized with heart failure: awaiting the uptike. J Am Coll Cardiol. 2015;66:927–9.CrossRefPubMed
2.
Konstam MA. Home monitoring should be the central element in an effective program of heart failure disease management. Circulation. 2012;125(6):820–7.CrossRefPubMed
3.
Stewart S, MacIntyre K, Hole DJ, Capewell S, McMurray JJ. More ‘malignant’ than cancer? Five-year survival following a first admission for heart failure. Eur J Heart Fail. 2001;3(3):315–22.CrossRefPubMed
4.
Stewart S, Ekman I, Ekman T, Odén A, Rosengren A. Population impact of heart failure and the most common forms of cancer: a study of 1 162 309 hospital cases in Sweden (1988 to 2004). Circ Cardiovasc Qual Outcomes. 2010;3(6):573–80.CrossRefPubMed
5.
McMurray JJ, Packer M, Desai AS, et al. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med. 2014;371(11):993–1004.CrossRefPubMed
6.
Solomon SD, Zile M, Pieske B, et al. The angiotensin receptor neprilysin inhibitor LCZ696 in heart failure with preserved ejection fraction: a phase 2 double-blind randomised controlled trial. Lancet. 2012;380(9851):1387–95.CrossRefPubMed
7.
van Deursen VM, Urso R, Laroche C, et al. Co-morbidities in patients with heart failure: an analysis of the European heart failure pilot survey. Eur J Heart Fail. 2014;16(1):103–11.CrossRefPubMed
8.
Juenger J, Schellberg D, Kraemer S, et al. Health related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables. Heart. 2002;87(3):235–41.CrossRefPubMedPubMedCentral
9.
Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18(8):891–975.CrossRefPubMed
10.
Anderson LJ, Taylor RS. Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews. Int J Cardiol. 2014;177(2):348–61.CrossRefPubMed
11.
Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts)Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J. 2016;37(29):2315–81.CrossRefPubMedPubMedCentral
12.
Golwala H, Pandey A, Ju C, et al. Temporal trends and factors associated with cardiac rehabilitation referral among patients hospitalized with heart failure. J Am Coll Cardiol. 2015;66:917–26.CrossRefPubMed
13.
Bjarnason-Wehrens B, McGee H, Zwisler AD, et al. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil. 2010;17(4):410–8.CrossRefPubMed
14.
Conraads VM, Van Craenenbroeck EM, De Maeyer C, Van Berendoncks AM, Beckers PJ, Vrints CJ. Unraveling new mechanisms of exercise intolerance in chronic heart failure: role of exercise training. Heart Fail Rev. 2013;18(1):65–77.CrossRefPubMed
15.
Piepoli MF, Coats AJ. The ‘skeletal muscle hypothesis in heart failure’ revised. Eur Heart J. 2013;34(7):486–8.CrossRefPubMed
16.
Dörr M, Halle M. Exercise training as a key component of heart failure therapy. Herz. 2015;40(2):206–14.CrossRefPubMed
17.
Jessup M, Abraham WT, Casey DE, et al. 2009 focused update: ACCF/AHA Guidelines for the diagnosis and management of heart failure in adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation. 2009;119(14):1977–2016.CrossRefPubMed
18.
van Tol BA, Huijsmans RJ, Kroon DW, Schothorst M, Kwakkel G. Effects of exercise training on cardiac performance, exercise capacity and quality of life in patients with heart failure: a meta-analysis. Eur J Heart Fail. 2006;8(8):841–50.CrossRefPubMed
19.
Belardinelli R, Georgiou D, Cianci G, Purcaro A. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life, and clinical outcome. Circulation. 1999;99(9):1173–82.CrossRefPubMed
20.
Piepoli MF, Davos C, Francis DP, Coats AJ, Collaborative E. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004;328(7433):189.CrossRefPubMed
21.
O’Connor CM, Whellan DJ, Lee KL, et al. Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1439–50.CrossRefPubMedPubMedCentral
22.
Keteyian SJ, Leifer ES, Houston-Miller N, et al. Relation between volume of exercise and clinical outcomes in patients with heart failure. J Am Coll Cardiol. 2012;60(19):1899–905.CrossRefPubMedPubMedCentral
23.
Flynn KE, Piña IL, Whellan DJ, Lin L, Blumenthal JA, Ellis SJ, Fine LJ, Howlett JG, Keteyian SJ, Kitzman DW, Kraus WE, Miller NH, Schulman KA, Spertus JA, O’Connor CM, Weinfurt KP. Effects of exercise training on health status in patients with chronic heart failure: HF-ACTION randomized controlled trial. JAMA. 2009;301(14):1451–9.CrossRefPubMedPubMedCentral
24.
25.
Edelmann F, Gelbrich G, Düngen HD, et al. Exercise training improves exercise capacity and diastolic function in patients with heart failure with preserved ejection fraction: results of the Ex-DHF (Exercise training in Diastolic Heart Failure) pilot study. J Am Coll Cardiol. 2011;58(17):1780–91.CrossRefPubMed
26.
Pandey A, Parashar A, Kumbhani DJ, et al. Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials. Circ Heart Fail. 2015;8(1):33–40.CrossRefPubMed
27.
Piepoli MF, Conraads V, Corrà U, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13(4):347–57.CrossRefPubMed
28.
Edelmann F, Grabs V, Halle M. Exercise training in heart failure. Internist (Berl). 2014;55(6):669–75.CrossRef
29.
Wisløff U, Støylen A, Loennechen JP, et al. Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: a randomized study. Circulation. 2007;115(24):3086–94.CrossRefPubMed
30.
Conraads VM, Pattyn N, De Maeyer C, et al. Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: the SAINTEX-CAD study. Int J Cardiol. 2015;179:203–10.CrossRefPubMed
31.
Tschentscher M, Eichinger J, Egger A, Droese S, Schönfelder M, Niebauer J. High-intensity interval training is not superior to other forms of endurance training during cardiac rehabilitation. Eur J Prev Cardiol. 2016;23(1):14–20.CrossRefPubMed
32.
Ellingsen Ø, Halle M, Conraads V, et al. High intensity interval training in patients with heart failure with reduced ejection fraction. Circulation. 2017;135:839–49.CrossRefPubMedPubMedCentral
33.
Wonisch M, Marko C, Niebauer J, Pokan R, Schmid P, Wiesinger E. Resistance training for patients with cardiovascular diseases. Wien Klin Wochenschr. 2012;124(9–10):326–33.CrossRefPubMed
34.
Braith RW, Beck DT. Resistance exercise: training adaptations and developing a safe exercise prescription. Heart Fail Rev. 2008;13(1):69–79.CrossRefPubMed
35.
Giuliano C, Karahalios A, Neil C, Allen J, Levinger I. The effects of resistance training on muscle strength, quality of life and aerobic capacity in patients with chronic heart failure – a meta-analysis. Int J Cardiol. 2017;227:413–23.CrossRefPubMed
36.
Jewiss D, Ostman C, Smart NA. The effect of resistance training on clinical outcomes in heart failure: a systematic review and meta-analysis. Int J Cardiol. 2016;221:674–81.CrossRefPubMed
37.
Beckers PJ, Denollet J, Possemiers NM, Wuyts FL, Vrints CJ, Conraads VM. Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. Eur Heart J. 2008;29(15):1858–66.CrossRefPubMed
38.
Smart NA, Giallauria F, Dieberg G. Efficacy of inspiratory muscle training in chronic heart failure patients: a systematic review and meta-analysis. Int J Cardiol. 2013;167(4):1502–7.CrossRefPubMed
39.
Marko C, Danzinger G, Käferbäck M, et al. Safety and efficacy of cardiac rehabilitation for patients with continuous flow left ventricular assist devices. Eur J Prev Cardiol. 2015;22(11):1378–84.CrossRefPubMed
40.
Willemsen D, Cordes C, Bjarnason-Wehrens B, et al. Rehabilitation standards for follow-up treatment and rehabilitation of patients with ventricular assist device (VAD). Clin Res Cardiol Suppl. 2016;11(S1):2–49.CrossRefPubMed
41.
Störk S, Kavoliuniene A, Vinereanu D, et al. What does the lay public know about heart failure. Findings from the Heart Failure Awarenessday initiative. Eur J Heart Fail. 2016;8:66–70.CrossRef
42.
43.
Jonkman NH, Westland H, Groenwold RH, et al. What are effective program characteristics of self-management interventions in patients with heart failure? An individual patient data meta-analysis. J Card Fail. 2016;22(11):861–71.CrossRefPubMedPubMedCentral
44.
Lynggaard V, Nielsen CV, Zwisler AD. The patient education – learning and coping strategies – improves adherence in cardiac rehabilitation (LC-REHAB): a randomised controlled trial. Int J Cardiol. 2017;236:65–70.CrossRefPubMed
Metadaten
Titel
Rehabilitation bei Herzinsuffizienz
verfasst von
Prim. Priv.-Doz. Dr. Johann Altenberger
Publikationsdatum
02.10.2017
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 1-2/2018
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-017-0604-0

Weitere Artikel der Ausgabe 1-2/2018

Wiener Medizinische Wochenschrift 1-2/2018 Zur Ausgabe

nachruf

Dr. Franz Xaver Felberbauer, MSc, Chirurg

themenschwerpunkt

Psychokardiologie in der stationären Rehabilitation

main topic

Cardiac rehabilitation in Austria

themenschwerpunkt

Was gibt es Neues in den Rehabilitationsguidelines?

themenschwerpunkt

Therapieoptionen von Fettstoffwechselstörungen

themenschwerpunkt

Kardiologische Rehabilitation in Europa – eine kritische Analyse