Centre for Pulmonary Hypertension, Thoraxklinik at Heidelberg University Hospital.
Translational Lung Research Center Heidelberg (TLRC), Member of the German Center for Lung Research (DZL).
Curr Opin Pulm Med. 2019 Sep;25(5):398-404. doi: 10.1097/MCP.0000000000000609.
The current review summarizes the latest evidence of the effects of exercise training for pulmonary hypertension patients demonstrated by six randomized controlled trails and 20 further studies. As the availability of exercise training is still limited it is important to raise awareness of the body of evidence showing the benefit for the patients and the limitations.
The effects of exercise training on exercise capacity, hemodynamics as well as quality of life are described as well as different settings and components of exercise training. Associated adverse events are critically reviewed and strategies for avoidance of these events discussed. Lastly, the most important issues of availability and reimbursement of a specialized exercise training program are examined and the future path is outlined to improve patient access.
The latest publications on this topic strengthen the call for international multicenter randomized controlled trials to establish the feasibility of exercise training in different healthcare systems and to enhance patient access to these programs.
本综述总结了六项随机对照试验和 20 项进一步研究中关于运动训练对肺动脉高压患者影响的最新证据。由于运动训练的可及性仍然有限，因此提高对证据的认识，了解对患者的益处和局限性非常重要。
描述了运动训练对运动能力、血液动力学和生活质量的影响，以及运动训练的不同设置和组成部分。对相关不良事件进行了批判性审查，并讨论了避免这些事件的策略。最后，检查了专门的运动训练计划的可用性和报销的最重要问题，并概述了未来的路径，以改善患者的可及性。
关于这个主题的最新出版物呼吁开展国际多中心随机对照试验，以确定运动训练在不同医疗保健系统中的可行性，并增强患者获得这些项目的机会。
