Tag Archives: exercise training

Introduction It has been estimated that around one in four people who attend a cardiovascular prevention and rehabilitation programme (CPRP) have diabetes mellitus (DM) and many more are at risk of this condition.1 CPRPs provide an ideal opportunity to help support people with DM through optimisation of their medical therapies, diet and exercise. However, medications such as insulin and insulin secretagogues (sulfonylureas) increase the risk of hypoglycaemia during aerobic exercise.2,3 Repeated bouts of hypoglycaemia increase the risk of cardiovascular mortality,4,5 hypoglycaemia unawareness,6 disability,7 and reduce physical activity adheren

Introduction In the UK, it is recommended that patients participating in the exercise component of a cardiovascular prevention and rehabilitation programme (CPRP) should undergo a baseline assessment of their cardiorespiratory fitness (CRF).1,2 The rationale behind this assessment is to measure programme outcomes, risk stratification and provide information for physical activity advice. In the UK, many CPRP use the Chester step test (CST), incremental shuttle walk test (ISWT), or the six-minute walk test (6MWT) to assess the changes in CRF following an exercise intervention.2 The choice of exercise test is usually dependent on the patient’s

Introduction Heart failure (HF) costs the National Health Service (NHS) £625 million per year and accounts for 5% of all emergency medical hospital admissions in the UK.1,2 Interventions with the potential to reduce admissions and lessen this economic burden are always of clinical interest; however, any such potential for cost-avoidance must always be balanced against the financial cost of the intervention. While there is evidence to suggest that exercise training may reduce emergency admissions in HF,3,4 this research invariably focuses on training that includes a hospital-based component. Though exercising at home may offer a more practic

Introduction Exercise is well recognised as a tool for assessment, prevention and management of cardiovascular disease.1 Cardiac patients are encouraged to attend cardiac rehabilitation programmes including elements of supervised exercise. Such programmes can reduce mortality and morbidity rates by up to 27%.2,3 Despite the benefits derived from participation in exercise-based cardiac rehabilitation, exercise itself may act as a trigger for myocardial ischaemia or cardiac arrest in patients with established coronary heart disease.4 During rehabilitation, cardiovascular event rates range from 12.3 to 37.4 per million patient hours of exercise.

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Neurohormonal blockade A cardiac resynchronisation therapy pacemaker (CRT-P), provides cardiac resynchronisation therapy and diagnostics to assist in patient management The meeting set off to a stimulating start with Professor Theresa McDonagh (Kings College Hospital, Chair of the British Society of Heart Failure) reviewing primarily the growing evidence for aldosterone antagonists in the management of systolic heart failure (HF). Large clinical trials have established the role of aldosterone antagonists, such as spironolactone, in severe systolic HF (Randomised Aldactone Evaluation Study – RALES) and eplerenone in acute myocardial infarcti

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