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Cardiopulmonary rehabilitation in patiens with heart failure and chronic pulmonary disease
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Journal Article
Cardiopulmonary rehabilitation in patiens with heart failure and chronic pulmonary disease
2016
Overview
The epidemiology of chronic heart failure (CHF) and chronic obstructive pulmory disease (COPD) are well known. Each of these conditions has an important impact on quality of life and functiol status and on healthcare consumption. Through shared risk factors and pathophysiological mechanisms CHF and COPD coexist more frequently than expected from the respective populations observed by the pulmonologist or cardiologist. This has important prognostic and therapeutic implications. Several registry-based studies and post-hoc alyses of large randomized controlled trials evaluating COPD as a comorbidity in CHF outpatients have highlighted the negative prognostic impact of the comorbidity in terms of constraint in use of recommended treatments.Among them, the cardiopulmory rehabilitation may play a significant role. Even in these patients, in fact, a rehabilitative approach focused on physical training programs can positively impact functiol autonomy, exercise tolerance and quality of life.RiassuntoAttraverso i fattori di rischio condivisi e simili meccanismi fisiopatologici scompenso cardiaco cronico (SCC) e malattia ostruttiva cronica polmore (BPCO) coesistono piu frequentemente di quanto previsto dalle rispettive popolazioni osservate rispettivamente dallo pneumologo o dal cardiologo. Cio ha importanti implicazioni prognostiche e terapeutiche. Diversi studi basati su registri e alisi post-hoc di ampi studi randomizzati controllati che hanno valutato la BPCO come comorbidità in pazienti con SCC hanno messo in evidenza l'impatto prognostico negativo della comorbilità in termini soprattutto di limitazioni all'utilizzo di trattamenti raccomandati. Tra questi un ruolo non trascurabile spetta alla riabilitazione. Anche in questi pazienti infatti un approccio riabilitativo incentrato su programmi di training fisico puo impattare favorevolmente sulla autonomia funziole, sulla tolleranza allo sforzo e sulla qualità della vita.
Publisher
PAGEPress Publications
Subject
