[The value of physical training in patients with heart failure].

Several smaller studies have demonstrated neutral or positive effects of moderately intensive exercise on clinical outcome in patients with heart failure. A recent meta-analysis concluded that the current studies were insufficient to conclude that moderate-to-high intensity resistance training in patients with heart failure has beneficial effects on outcome. However, the recently published HF-ACTION trial demonstrated modest effects on death and hospitalisation, and a clear improvement in quality of life. Taken together, these findings support the current advice provided by the heart failure guidelines of the European Society of Cardiology that recommend regular, moderate daily activity in all patients with heart failure.