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Dtsch Med Wochenschr 2011; 136(16): 836-840
DOI: 10.1055/s-0031-1275814
Übersicht | Review article
Kardiologie
© Georg Thieme Verlag KG Stuttgart · New York

Körperliches Training bei Herzinsuffizienz: Effektivität jenseits der medikamentösen Therapie?

Exercise in heart failure – additional effect to medication?R. Seebach1 , D. Hensler2 , J. W. Christle1 , A. Preßler1 , M. Halle1
  • 1Präventive und Rehabilitative Sportmedizin, Klinikum rechts der Isar, Technische Universität München
  • 2Zentrum für Interdisziplinäre Intensivmedizin, Berufsgenossenschaftliche Unfallklinik Murnau
Further Information

Publication History

eingereicht: 3.2.2011

akzeptiert: 17.3.2011

Publication Date:
12 April 2011 (online)

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Zusammenfassung

Körperliche Aktivität galt bis vor 20 Jahren noch weitgehend als Kontraindikation bei chronischer Herzinsuffizienz – eine Annahme, die heutzutage als überholt angesehen werden muss. Regelmäßiges körperliches Training wurde in zahlreichen Studien als sicher bewertet und hat neben medikamentösen und apparativen Verfahren inzwischen einen bedeutsamen Stellenwert in der Therapie der systolischen Herzinsuffizienz. Training steigert signifikant kardiorespiratorische Belastbarkeit und die Lebensqualität, reduziert krankheitsspezifische Begleitsymptome wie Dyspnoe und Ermüdung und senkt die Hospitalisierungsrate. Auch gibt es Hinweise für eine trainingsinduzierte Verbesserung der linksventrikulären Auswurffraktion und eine Senkung der Mortalität. Ein optimales Training für stabile Patienten aller NYHA-Stadien beinhaltet sowohl Ausdauer- als auch Kraftelemente und sollte unter fachkundiger Aufsicht individuell dosiert durchgeführt werden.

Abstract

Twenty years ago chronic heart failure was considered a contraindication for regular physical activity. Many believed exercise to be counterproductive to recovery and perhaps harmful to chronic heart failure patients. However, in recent years numerous studies have proven the feasibility and safety of exercise training in heart failure patients. Exercise now plays a pivotal role in the treatment of systolic heart failure in addition to medical or device-related therapy. Regular exercise has been shown to increase exercise capacity and quality of life, as well as reduce symptoms and lower hospitalization rates. It also has the potential to increase left ventricular ejection fraction and reduce mortality. An individual tailored regular exercise program including endurance and resistance training is recommended for all stable heart failure patients.

Schlüsselwörter

chronische Herzinsuffizienz - körperliches Training - kardiorespiratorische Belastbarkeit - linksventrikuläre Auswurffraktion

Keywords

chronic heart failure - aerobic endurance training - exercise capacity - ejection fraction - cardiac rehabilitation

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Univ.-Prof. Dr. med. Martin Halle

Technische Universität München
Medizinische Universitätsklinik
Präventive und Rehabilitative Sportmedizin

Connollystraße 32

80809 München

Email: halle@tum.de

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