cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-1377Research ArticleОБЗОРЫREVIEWSФизические тренировки больных с хронической сердечной недостаточностьюPhysical training in patients with chronic heart failureСнытниковаА. В.SnytnikovaA. V.

Аспирант кафедры профилактической и неотложной кардиологии ФППОВ

Москва

Cardiology Clinic

Moscow

 

snytnikovann@mail.ruАндреевД. А.AndreevD. A.

Профессор кафедры профилактической и неотложной кардиологии ФППОВ

Москва

Cardiology Clinic

Moscow

ДолецкийА. А.DoletskyA. A.

Врач-кардиолог кабинета кардиореабилитации клиники кардиологии

Москва

Cardiology Clinic

Moscow

СветА. В.SvetA. V.

Заведующий кабинетом кардиореабилитации клиники кардиологии

Москва

Cardiology Clinic

Moscow

 

ЧаплыгинА. В.ChaplyginA. V.

Врач-кардиолог кабинета кардиореабилитации клиники кардиологии

Москва

Cardiology Clinic

Moscow

Московская медицинская академия им. И.М.Сеченова РосздраваI.M. Sechenov Moscow Medical Academy20092008200988108118Copyright © Снытникова А.В., Андреев Д.А., Долецкий А.А., Свет А.В., Чаплыгин А.В., 20092009Снытникова А.В., Андреев Д.А., Долецкий А.А., Свет А.В., Чаплыгин А.В.Snytnikova A.V., Andreev D.A., Doletsky A.A., Svet A.V., Chaplygin A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/1377

Хроническая сердечная недостаточность (ХСН) проявляется неспособностью сердца обеспечить адекватный кровоток в органах и тканях. Один из наиболее значимых симптомов ХСН – снижение переносимости физических нагрузок (ФН), обусловленное нарушениями центральной гемодинамики и различными периферическими механизмами. Физические тренировки (ФТ) повышают толерантность к ФН, улучшают качество жизни и прогноз у больных с ХСН. В условиях доказанной эффективности ФТ при ХСН, в настоящее время существуют различные подходы к методам их проведения, в частности, используют два типа тренировок – с постоянной интенсивностью ФН и интервальные ФН. В этом обзоре литературы суммированы данные о механизмах снижения переносимости ФН при ХСН и эффектах ФТ у таких больных, рассматриваются аспекты методологии: сроки начала после эпизода декомпенсации, продолжительность, интенсивность ФТ.

Chronic heart failure (CHF) manifests in heart insufficiency and inadequate blood flow in various organs and tissues. One of the most important CHF symptoms is reduced physical stress (PS) tolerability, due to impaired central hemodynamics and various peripheral mechanisms. Physical training (PT) improves PS tolerability, quality of life and prognosis in CHF patients. While PT effectiveness in CHF has been proved, there are various approaches to PT methodology. In particular, two types of PT are used – PT with constant PS intensity and interval PT. This literature review summarizes the evidence on the mechanisms of PS tolerability in CHF and PT effects in these patients. PT methodology (start time after decompensation, length, and intensity) is also discussed.

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The authors declare that there are no conflicts of interest present.