RT Journal Article
SR Electronic
T1 ERS statement on exercise training and rehabilitation in patients with severe chronic pulmonary hypertension
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 1800332
DO 10.1183/13993003.00332-2018
VO 53
IS 2
A1 Ekkehard Grünig
A1 Christina Eichstaedt
A1 Joan-Albert Barberà
A1 Nicola Benjamin
A1 Isabel Blanco
A1 Eduardo Bossone
A1 Antonio Cittadini
A1 Gerry Coghlan
A1 Paul Corris
A1 Michele D'Alto
A1 Antonello D'Andrea
A1 Marion Delcroix
A1 Frances de Man
A1 Sean Gaine
A1 Stefano Ghio
A1 Simon Gibbs
A1 Lina Gumbiene
A1 Luke S. Howard
A1 Martin Johnson
A1 Elena Jurevičienė
A1 David G. Kiely
A1 Gabor Kovacs
A1 Alison MacKenzie
A1 Alberto M. Marra
A1 Noel McCaffrey
A1 Paul McCaughey
A1 Robert Naeije
A1 Horst Olschewski
A1 Joanna Pepke-Zaba
A1 Abílio Reis
A1 Mário Santos
A1 Stéphanie Saxer
A1 Robert M. Tulloh
A1 Silvia Ulrich
A1 Anton Vonk Noordegraaf
A1 Andrew J. Peacock
YR 2019
UL http://erj.ersjournals.com/content/53/2/1800332.abstract
AB Objectives of this European Respiratory Society task force were to summarise current studies, to develop strategies for future research and to increase availability and awareness of exercise training for pulmonary hypertension (PH) patients.An evidence-based approach with clinical expertise of the task force members, based on both literature search and face-to-face meetings was conducted. The statement summarises current knowledge and open questions regarding clinical effects of exercise training in PH, training modalities, implementation strategies and pathophysiological mechanisms.In studies (784 PH patients in total, including six randomised controlled trials, three controlled trials, 10 prospective cohort studies and four meta-analyses), exercise training has been shown to improve exercise capacity, muscular function, quality of life and possibly right ventricular function and pulmonary haemodynamics. Nevertheless, further studies are needed to confirm these data, to investigate the impact on risk profiles and to identify the most advantageous training methodology and underlying pathophysiological mechanisms.As exercise training appears to be effective, cost-efficient and safe, but is scarcely reimbursed, support from healthcare institutions, commissioners of healthcare and research funding institutions is greatly needed. There is a strong need to establish specialised rehabilitation programmes for PH patients to enhance patient access to this treatment intervention.Specialised exercise training in patients with pulmonary hypertension appears to be effective, cost-efficient and safe. More support is necessary from healthcare institutions and politicians to establish such programmes throughout Europe. http://ow.ly/kLvS30mUbja