The exercise training restores the heart rate variability in heart failure patients. A systematic review [El entrenamiento físico restaura la variabilidad del ritmo cardiaco en la insuficiencia cardiaca. Revisión sistemática]
MetadataShow full item record
Cardiovascular diseases are a significant cause of morbidity and mortality in the general population. In this sense, the autonomic imbalance is the cornerstone of the pathophysiology underlying the development of these diseases. The aim of this study was to determine the efficacy of exercise training on heart rate variability (HRV) in adult patients with chronic heart failure. Methodology: A systematic literature review was conducted in electronic databases. The considered studies were randomised clinical trials, quasi-experimental studies with non-randomised control group, quasi-experimental studies with analysis of pre- and post- intervention, and crossover studies with randomly assigned training and non-training periods. The standardised mean differences were calculated between pre- and post-intervention in both the control and experimental group. Results: Within-subject analysis of the control group showed no statistical significance in the standardised mean differences of HRV. In the experimental group, the standardised mean differences were positive for the root mean square of successive difference (+0.468 ± 0.215; P =.032), high frequency band (HF) (0.934 ± 0.256; P <.001) and low frequency band (LF) (< 0.415 ± 0.096; P =.001). Moreover, the standardised mean difference was negative for LF/HF (−0.747 ± 0.369, P = <.044). On the other hand, only 3 studies entered the comparative metaanalysis. The effect of exercise training was favourable for the experimental group in LF/HF (−2.21 ± 95% CI: −3.83 to −0.60), HF, and LF. Conclusion: The exercise training was effective in increasing HRV and restoring the autonomic balance in patients with heart failure. © 2017 Instituto Nacional de Cardiología Ignacio Chávez.
Showing items related by title, author, creator and subject.
Revisiting the physiological effects of exercise training on autonomic regulation and chemoreflex control in heart failure: Does ejection fraction matter? (2020) Andrade D.C.; Arce-Alvarez A.; Toledo C.; Díaz H.S.; Lucero C.; Quintanilla R.A.; Schultz H.D.; Marcus N.J.; Amann M.; Del Rio R. (American Physiological Society, 2018)
Role of the Carotid Body Chemoreflex in the Pathophysiology of Heart Failure: A Perspective from Animal Studies (2020) Schultz H.D.; Marcus N.J.; del Rio R. (Springer New York LLC, 2015)
Physical Exercise Improves Heart Rate Variability in Patients with Type 2 Diabetes: A Systematic Review (2020) Villafaina S.; Collado-Mateo D.; Fuentes J.P.; Merellano-Navarro E.; Gusi N. (Current Medicine Group LLC 1, 2017)