The statement aims to raise clinicians' awareness of exercise as a therapy in preserved-EF heart failure and convince Medicare that it's worthy of reimbursement.
The statement was also endorsed by the Heart Failure Society of America, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the American Association of Heart Failure Nurses. The statement makes its case in HFpEF specifically for SET rather than cardiac rehabilitation, the latter typically a comprehensive program that goes beyond exercise, Kitzman noted. And SET is closer to the exercise interventions used in the supportive HFpEF trials.
Increasingly,"HFpEF is now accepted as a systemic disorder that affects and impacts all organs," Kitzman observed."With a systemic multiorgan disorder, it would make sense that a broad treatment like exercise might be just the right thing. We think that's the reason that its benefits are really quite large in magnitude."
Its effects in the disorder are"anti-inflammatory, rheological, lipid-lowering, antihypertensive, positive inotropic, positive lusitropic, negative chronotropic, vasodilation, diuretic, weight-reducing, hypoglycemic, hypnotic, and antidepressive," the statement notes. It achieves them via multiple pathways involving the heart, lungs, vasculature and, notably, the skeletal muscles.
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