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Review
. 2022 Aug;52(8):576-592.
doi: 10.4070/kcj.2022.0181.

Effectiveness and Approach of Rehabilitation in Patients With Acute Heart Failure: A Review

Kensuke Ueno  1   2 , Hidehiro Kaneko  1   3 , Hidetaka Itoh  1 , Norifumi Takeda  1 , Hiroyuki Morita  1 , Katsuhito Fujiu  1   4 , Kentaro Kamiya  5 , Issei Komuro  1
Affiliations
Review

Effectiveness and Approach of Rehabilitation in Patients With Acute Heart Failure: A Review

Kensuke Ueno et al. Korean Circ J. 2022 Aug.

Abstract

Acute heart failure is associated with high mortality and frequent rehospitalization, resulting in enormous healthcare costs and declining physical function, activities of daily living, and quality of life. Cardiac rehabilitation has been recommended as one of the non-pharmacologic treatments for patients with heart failure. However, much of the evidence for cardiac rehabilitation interventions reported to date has been limited to chronic heart failure. In recent years, the effectiveness of rehabilitation intervention in patients with acute heart failure has been reported, led by the Rehabilitation Therapy in Older Acute Heart Failure Patients (REHAB-HF) trial. This review overviews the recent evidence of rehabilitation in patients with acute heart failure.

Keywords: Acute heart failure; Cardiac rehabilitation; Exercise therapy; Physical function; Rehabilitation.

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Conflict of interest statement

Research funding and scholarship funds (Hidehiro Kaneko and Katsuhito Fujiu) from Medtronic Japan CO., LTD, Boston Scientific Japan CO., LTD, Biotronik Japan, Simplex QUANTUM CO., LTD, and Fukuda Denshi, Central Tokyo CO., LTD. Kentaro Kamiya has received research and scholarship funding from Eiken Chemical Co., Ltd. Other authors have nothing to disclose.

Figures

Figure 1
Figure 1. Short Physical Performance Battery.
Figure was created based on https://www.nia.nih.gov/research/labs/leps/short-physical-performance-battery-sppb.
Figure 2
Figure 2. Association between quadriceps isometric strength and levels of exercise capacity and habitual activities.
Figure was created based on a report by Kamiya et al. Ainsworth et al. presents a complete list showing the relationship between the different QIS/METs categories. BW = body weight; MET = metabolic equivalent; QIS = quadriceps isometric strength.
Figure 3
Figure 3. Global Leadership Initiative on Malnutrition criteria for the diagnosis of malnutrition.
Figure was created based on a report by Cederholm et al. ER = energy requirements; GI = gastrointestinal.
See this image and copyright information in PMC

References

    1. Benjamin EJ, Muntner P, Alonso A, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation. 2019;139:e56–528. - PubMed
    1. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42:3599–3726. - PubMed
    1. Kaneko H, Itoh H, Yotsumoto H, et al. Association between the number of hospital admissions and in-hospital outcomes in patients with heart failure. Hypertens Res. 2020;43:1385–1391. - PubMed
    1. Cheng RK, Cox M, Neely ML, et al. Outcomes in patients with heart failure with preserved, borderline, and reduced ejection fraction in the Medicare population. Am Heart J. 2014;168:721–730. - PubMed
    1. Pandey A, Kitzman D, Whellan DJ, et al. Frailty among older decompensated heart failure patients: prevalence, association with patient-centered outcomes, and efficient detection methods. JACC Heart Fail. 2019;7:1079–1088. - PMC - PubMed