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Title: | Standardised Exercise Prescription for Patients with Chronic Coronary Syndrome and/or Heart Failure: A Consensus Statement from the EXPERT Working Group | Authors: | HANSEN, Dominique Beckers, Paul Neunhäuserer, Daniel Birna Bjarnason-Wehrens, · Piepoli, Massimo F Rauch, Bernhard Völler, Heinz Corrà, Ugo Garcia-Porrero, Esteban Schmid, Jean-Paul Lamotte, Michel Doherty, Patrick Reibis, Rona Niebauer, Josef DENDALE, Paul Davos, Constantinos Kouidi, Evangelia SPRUIT, Martijn A. Vanhees, Luc Cornelissen, Véronique Edelmann, Frank Barna, Olga Stettler, Christoph Tonoli, Cajsa Greco, Eugenio Pedretti, Roberto Abreu, Ana Ambrosetti, Marco Sarzi Braga, Simona Bussotti, Maurizio Faggiano, Pompilio Takken, Tim Vigorito, Carlo Schwaab, Bernhard CONINX, Karin |
Issue Date: | 2023 | Publisher: | ADIS INT LTD | Source: | SPORTS MEDICINE, 53 (11) , p. 2013 -2037 | Abstract: | Whereas exercise training, as part of multidisciplinary rehabilitation, is a key component in the management of patients with chronic coronary syndrome (CCS) and/or congestive heart failure (CHF), physicians and exercise professionals disagree among themselves on the type and characteristics of the exercise to be prescribed to these patients, and the exercise prescriptions are not consistent with the international guidelines. This impacts the efficacy and quality of the intervention of rehabilitation. To overcome these barriers, a digital training and decision support system [i.e. EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool], i.e. a stepwise aid to exercise prescription in patients with CCS and/or CHF, affected by concomitant risk factors and comorbidities, in the setting of multidisciplinary rehabilitation, was developed. The EXPERT working group members reviewed the literature and formulated exercise recommendations (exercise training intensity, frequency, volume, type, session and programme duration) and safety precautions for CCS and/ or CHF (including heart transplantation). Also, highly prevalent comorbidities (e.g. peripheral arterial disease) or cardiac devices (e.g. pacemaker, implanted cardioverter defibrillator, left-ventricular assist device) were considered, as well as indications for the in-hospital phase (e.g. after coronary revascularisation or hospitalisation for CHF). The contributions of physical fitness, medications and adverse events during exercise testing were also considered. The EXPERT tool was developed on the basis of this evidence. In this paper, the exercise prescriptions for patients with CCS and/or CHF formulated for the EXPERT tool are presented. Finally, to demonstrate how the EXPERT tool proposes exercise prescriptions in patients with CCS and/or CHF with different combinations of CVD risk factors, three patient cases with solutions are presented. | Notes: | Hansen, D (corresponding author), Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium.; Hansen, D (corresponding author), Hasselt Univ, BIOMED Biomed Res Inst, UHasselt, Agr Laan Bldg, B-3590 Diepenbeek, Belgium. Dominique.hansen@uhasselt.be |
Document URI: | http://hdl.handle.net/1942/40815 | ISSN: | 0112-1642 | e-ISSN: | 1179-2035 | DOI: | 10.1007/s40279-023-01909-x | ISI #: | 001062083100001 | Rights: | The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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EAPC EXPERT paper 3 final_SM_R2.pdf | Peer-reviewed author version | 533.78 kB | Adobe PDF | View/Open |
s40279-023-01909-x.pdf Restricted Access | Published version | 797.36 kB | Adobe PDF | View/Open Request a copy |
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