Abstract

AEROBIC TRAINING IN HEART FAILURE PATIENTS WITH OPTIMAL HEART FAILURE THERAPY – A PROSPECTIVE RANDOMIZED STUDY

Tatiana Lelyavina*, Maria Sitnikova, Victoria Galenko, Maria Bortzova

Abstract

Chronic heart failure (HF) - a pathological condition, which prevalence increasing every year. The one of key problems of HF rehabilitation is to define exercise mode & intensity that are safe and effective. Finding ways of competent individualized impact on skeletal muscle in CHF patients is very important. Exercise intensity usually categorized using the percent of maxHR or VO2max percentage. In previous work we have proposed a method of definition of four compensatory-adaptive stages physical efficiency during CPET in healthy individuals: lactate threshold (LT), pHthreshold (pH-T), respiratory compensation point (RCP) and aerobic limit. Lactate threshold was determined when blood lactate level began to increase. Based on the results of this study we developed a method of individualized selection the intensity of physical exercise. This will help cardiologists in the future to choose a program of physical rehabilitation for heart failure patients with optimal heart failure therapy.

Keywords: lactate threshold (LT), pH-threshold (pH-T).