Article

Advantages of outpatient exercise training are reduced waiting lists,
better compliance, reduced time investment by the patient with reduced travel
expenses, and less dependence on other people to participate. Therefore, this
systematic review studies the effects of outpatient exercise training programmes
compared with usual care on exercise capacity, exercise performance, quality of
life, and safety in patients with chronic heart failure.
DESIGN: Systematic
review with meta-analysis. METHODS: Randomized controlled trials concerning
patients with chronic heart failure, with a left ventricular ejection fraction
</=40%, were included. A meta-analysis was performed. RESULTS: Twenty-two studies
were included. VO(2)max, 6-min walking test, and quality of life showed
significant differences in favour of the intervention group of 1.85 ml/kg/min,
47.9 m, and 6.9 points, respectively. In none of the studies, a significant
relationship was found between exercise training and adverse events. CONCLUSION:
This meta-analysis illustrates the efficacy and safety of outpatient training
programmes for patients with chronic heart failure.

Langue : ANGLAIS