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Impact of Exercise on Physiological, Biochemical, and Analytical Parameters in Patients with Heart Failure with Reduced Ejection Fraction

Overview
Publisher MDPI
Specialty General Medicine
Date 2025 Jan 8
PMID 39768897
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Abstract

Heart failure with reduced ejection fraction (HFrEF) is a condition marked by diminished cardiac output and impaired oxygen delivery to tissues. Exercise, once avoided in HFrEF patients due to safety concerns, is now recognized as an important therapeutic intervention. Structured exercise improves various physiological, biochemical, and analytical parameters, including cardiac output, endothelial function, skeletal muscle performance, and autonomic regulation. Biochemically, exercise induces favorable changes in inflammatory markers, lipid profiles, glucose metabolism, and renal function. This paper reviews these changes, highlighting how exercise can be safely incorporated into HFrEF management. Further research is needed to tailor exercise interventions for individual patients to optimize outcomes.

References
1.
. Recommendations for exercise training in chronic heart failure patients. Eur Heart J. 2001; 22(2):125-35. DOI: 10.1053/euhj.2000.2440. View

2.
Hurley D, Williams E, Cross J, Riedinger B, Meyer R, Abela G . Aerobic Exercise Improves Microvascular Function in Older Adults. Med Sci Sports Exerc. 2018; 51(4):773-781. PMC: 8480317. DOI: 10.1249/MSS.0000000000001854. View

3.
Chen X, Zhang T, Hu X, Wen Z, Lu W, Jiang W . High-Intensity Interval Training Programs Versus Moderate-Intensity Continuous Training for Individuals With Heart Failure: A Systematic Review and Meta-analysis. Arch Phys Med Rehabil. 2024; 106(1):98-112. DOI: 10.1016/j.apmr.2024.05.028. View

4.
van der Pol A, van Gilst W, Voors A, van der Meer P . Treating oxidative stress in heart failure: past, present and future. Eur J Heart Fail. 2018; 21(4):425-435. PMC: 6607515. DOI: 10.1002/ejhf.1320. View

5.
Guzik T, Nosalski R, Maffia P, Drummond G . Immune and inflammatory mechanisms in hypertension. Nat Rev Cardiol. 2024; 21(6):396-416. DOI: 10.1038/s41569-023-00964-1. View