Exercise Management of the Person with Heart Failure and Preserved Ejection Fraction
Heart failure with preserved/normal election fraction (HFpEF or HFnEF) is a lesser recognized heart failure phenotype that is characterized by shortness of breath on mild to moderate exertion. HFpEF carries a similar morbidity and mortality burden to the better known heart failure with REDUCED ejection fraction phenotype (HFrEF). HFpEF prevalence increases with age and in the presence of certain diseases, especially cardiovascular disease and specifically cardiac failure where it may occur in more than 50% of those people. There are several different ways that HFpEF can present symptoms, but the diagnosis is via Tissue Doppler echocardiography and test interpretation is complex. HFpEF can lead to exercise prescriptions occurring at an age-appropriate intensity that an individual with HFpEF may find challenging. This online activity will examine how to identify HFpEF and how exercise programming may be modified to allow optimal delivery.
This is a recording of an ESSA webinar presented on18 March 2022.
Presented by Professor Neil Smart, PhD, M.Med.Sci., Bsc Hons, ESSAF
Neil is a research and teaching professor in the degrees of exercise science and clinical exercise physiology at the University of New England. Neil teaches units in exercise physiology, clinical exercise testing, exercise prescription for disease populations, exercise training and patho-physiology of chronic disease.
Neil's main research interests in exercise science are in exercise therapy for the management of chronic disease. Specifically Neil is interested in the role of intermittent ischaemia and hypoxia on the ability to improve blood vessel function. Neil has worked extensively with people with heart failure and type II diabetes. Neil has also completed >70 meta-analyses of the various benefits of exercise training in patients with chronic disease such as heart failure and renal failure. Neil provides an exercise physiology clinic so people with chronic illnesses in the local community can access the benefits of regular physical exercise.
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