Progress in research of cardiac rehabilitation in heart failure patients with mid-range ejection fraction

doi:10.3877/cma.j.issn.1674-0785.2024.10.013

Abstract

Abstract:

Heart failure is the final stage in the progression of various heart diseases.The diagnosis, treatment, and management of heart failure patients present a significant challenge.Exercise-based cardiac rehabilitation can reduce mortality rates in heart failure patients, decrease the frequency of repeated hospitalizations, and improve quality of life.Heart failure with mid-range ejection fraction (HFmrEF) is a newly defined type of heart failure.This review summarizes the definition, clinical characteristics, and cardiac rehabilitation strategies for HFmrEF.HFmrEF patients exhibit clinical features that are intermediate between those of heart failure with reduced ejection fraction (HFrEF) and preserved ejection fraction (HFpEF).Cardiac rehabilitation is safe and effective for HFmrEF patients, being able to improve patient prognosis and quality of life.Rehabilitation strategies include pharmacotherapy, exercise training, nutritional guidance, etc., with exercise training being the core component.Cardiopulmonary exercise testing plays a crucial role in assessing and guiding rehabilitation for HFmrEF patients.Current research on HFmrEF rehabilitation is still limited,necessitating more large-scale randomized controlled trials to evaluate optimal rehabilitation protocols.

Key words: Heart failure with mid-range ejection fraction, Cardiac rehabilitation, Exercise training, Cardiopulmonary exercise test

Jing Yao, Xinghui Shao. Progress in research of cardiac rehabilitation in heart failure patients with mid-range ejection fraction[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(10): 961-964.

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