Koskina Lida, Huerta Nicholas H, Rao Shiavax J, Amin Ahmad
Medstar Health Georgetown University (Baltimore) Internal Medicine Residency Program, 201 E University Pkwy, Baltimore, MD, USA.
Division of Cardiovascular Medicine, University of Virginia, Charlottesville, MD, USA.
Heart Fail Rev. 2025 May 7. doi: 10.1007/s10741-025-10521-2.
This review explores the critical role of exercise as a non-pharmacological intervention in managing ischemic cardiomyopathy (ICM), a leading cause of heart failure. It highlights the profound cardiovascular benefits of exercise, such as improved cardiopulmonary parameters, decreased morbidity and mortality, and enhanced functional capacity. It also critically evaluates existing literature on the efficacy of various exercise types and intensities, including aerobic, resistance, and high-intensity interval training. There is a significant gap in current clinical guidelines, which lack specific exercise prescriptions tailored to the unique pathophysiology of ICM. By synthesizing data from both older and contemporary studies, this review highlights specific, evidence-based exercise regimens and promotes supervised cardiac rehabilitation programs. This review also addresses potential barriers to cardiac rehabilitation participation and proposes future directions, which include the use of technology to improve adherence and outcomes.
本综述探讨了运动作为一种非药物干预措施在治疗缺血性心肌病（ICM）中的关键作用，ICM是心力衰竭的主要原因。它强调了运动对心血管系统的深远益处，如改善心肺参数、降低发病率和死亡率以及增强功能能力。它还对现有关于各种运动类型和强度（包括有氧运动、阻力训练和高强度间歇训练）疗效的文献进行了批判性评估。当前临床指南存在重大差距，缺乏针对ICM独特病理生理学的具体运动处方。通过综合来自既往和当代研究的数据，本综述突出了具体的、基于证据的运动方案，并推广了有监督的心脏康复计划。本综述还讨论了参与心脏康复的潜在障碍，并提出了未来的方向，其中包括利用技术来提高依从性和改善治疗效果。
