Abstract | I will start only by reminding that in the definition of heart failure, we have both the term "heart" and "periphery" (Table 1). Because in general, a good definition of heart failure is "the inability of the heart to deliver a cardiac output sufficient to meet the needs of the periphery, not only at rest but also during exercise". So there is a tight coupling in the definition between the heart and the periphery. And often people neglect the role of the periphery in the symptoms of heart failure. And we will see now in the next minutes that this role is very important and this is mainly the rationale for the exercise therapy in heart failure. (Table 2) We will see successively the rationale of exercise training in this patient, what are the main inclusion criteria, the result of the studies, what were the protocols that were used, how to select the patients, and also some unsolved issues. |