Tools
Tools
Heutinck, JM, de Koning, IA, Vromen, T, Thijssen, DHJ and Kemps, HMC (2023) Exercise-based cardiac rehabilitation in stable angina pectoris: a narrative review on current evidence and underlying physiological mechanisms. Netherlands Heart Journal, 32. pp. 23-30. ISSN 1568-5888
|
Text
Exercise-based cardiac rehabilitation in stable angina pectoris a narrative review on current evidence and underlying physiological mechanisms.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Stable angina pectoris (SAP) is a prevalent condition characterised by a high disease burden. Based on recent evidence, the need for revascularisation in addition to optimal medical treatment to reduce mortality and re-events is heavily debated. These observations may be explained by the fact that revascularisation is targeted at the local flow-limiting coronary artery lesion, while the aetiology of SAP relates to the systemic, inflammatory process of atherosclerosis, causing generalised vascular dysfunction throughout the entire vascular system. Moreover, cardiovascular events are not solely caused by obstructive plaques but are also associated with plaque burden and high-risk plaque features. Therefore, to reduce the risk of cardiovascular events and angina, and thereby improve quality of life, alternative therapeutic approaches to revascularisation should be considered, preferably targeting the cardiovascular system as a whole with a physiological approach. Exercise-based cardiac rehabilitation fits this description and is a promising strategy as a first-line treatment in addition to optimal medical treatment. In this review, we discuss the role of exercise-based cardiac rehabilitation in SAP in relation to the underlying physiological mechanisms, we summarise the existing evidence and highlight future directions.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Cardiovascular System & Hematology |
| Subjects: | Q Science > QP Physiology R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport & Exercise Sciences |
| Publisher: | Springer |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 17 Sep 2024 15:27 |
| Last Modified: | 17 Sep 2024 15:30 |
| DOI or ID number: | 10.1007/s12471-023-01830-y |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/24167 |
 |
View Item |