A review of ongoing trials in exercise based rehabilitation for pulmonary arterial hypertension

Exercise based rehabilitation for patients with pulmonary arterial hypertension (PAH) is a new treatment option for these patients to improve their functional capacity and quality of life. Despite the benefits seen in cardiopulmonary rehabilitation in various other conditions, it has been underutilized for the patients with PAH. A review of currently registered ongoing trials on exercise training for patients with PAH from the World Health Organization International Clinical Trial Registry Platform was done using the key words “rehabilitation”, “exercise training”, “pulmonary artery hypertension” and “pulmonary hypertension” for a period of 10 years (2002-2012). The search revealed 57 registered trials in various trial registries from which seven met the inclusion criteria. The current studies are being carried out in Germany (n=4), Brazil (n=1), Australia (n=1) and India (n=1). This indicates a shift in focus from the only medical management to the rehabilitation and long term care for patients with PAH.

[1]  P. Filardi,et al.  Exercise testing in the clinical management of patients affected by pulmonary arterial hypertension , 2012, European journal of preventive cardiology.

[2]  C. Fischer,et al.  Exercise training in pulmonary arterial hypertension associated with connective tissue diseases , 2012, Arthritis Research & Therapy.

[3]  C. Blaisdell,et al.  National Heart, Lung, and Blood Institute Workshop: Improving Outcomes for Pulmonary Vascular Disease , 2012, Circulation.

[4]  R. Speich,et al.  Safety and efficacy of exercise training in various forms of pulmonary hypertension , 2012, European Respiratory Journal.

[5]  A. Maiya,et al.  Effects of Combined Early In-Patient Cardiac Rehabilitation and Structured Home-based Program on Function among Patients with Congestive Heart Failure: A Randomized Controlled Trial , 2011, Heart views : the official journal of the Gulf Heart Association.

[6]  S. Jenkins,et al.  Short term effects of exercise training on exercise capacity and quality of life in patients with pulmonary arterial hypertension: protocol for a randomised controlled trial , 2011, BMC pulmonary medicine.

[7]  R. Arena,et al.  Cardiopulmonary exercise testing in the assessment of pulmonary hypertension , 2011, Expert review of respiratory medicine.

[8]  M. Kramer,et al.  Ambulatory rehabilitation improves exercise capacity in patients with pulmonary hypertension. , 2011, Journal of cardiac failure.

[9]  S. Rosenkranz,et al.  Effect of Exercise and Respiratory Training on Clinical Progression and Survival in Patients with Severe Chronic Pulmonary Hypertension , 2011, Respiration.

[10]  J. Alison,et al.  Exercise in pulmonary hypertension , 2011 .

[11]  F. Maltais,et al.  Effects of a Rehabilitation Program on Skeletal Muscle Function in Idiopathic Pulmonary Arterial Hypertension , 2010, Journal of cardiopulmonary rehabilitation and prevention.

[12]  R. Arena,et al.  Cardiopulmonary exercise testing in patients with pulmonary arterial hypertension: an evidence-based review. , 2010, The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation.

[13]  R. Oudiz,et al.  Exercise Training in Patients with Pulmonary Arterial Hypertension: A Case Report , 2009, Cardiopulmonary physical therapy journal.

[14]  N. Westerhof,et al.  Effects of exercise training in patients with idiopathic pulmonary arterial hypertension , 2009, European Respiratory Journal.

[15]  W. Kraus,et al.  Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial. , 2009, JAMA.

[16]  I. Schulze-Neick,et al.  Consensus statement on the management of pulmonary hypertension in clinical practice in the UK and Ireland , 2008, Thorax.

[17]  H. Katus,et al.  Skeletal muscle dysfunction in patients with idiopathic pulmonary arterial hypertension. , 2007, Respiratory medicine.

[18]  G. Diller,et al.  Pulmonary Vascular Disease in Adults With Congenital Heart Disease , 2007, Circulation.

[19]  F. Herth,et al.  Exercise and Respiratory Training Improve Exercise Capacity and Quality of Life in Patients With Severe Chronic Pulmonary Hypertension , 2006, Circulation.

[20]  J. E. Hansen,et al.  End-tidal PCO2 abnormality and exercise limitation in patients with primary pulmonary hypertension. , 2005, Chest.

[21]  H. Katus,et al.  Respiratory muscle dysfunction in idiopathic pulmonary arterial hypertension , 2005, European Respiratory Journal.

[22]  N. C. Ho,et al.  Adults with congenital heart disease , 2003, The Lancet.

[23]  J. E. Hansen,et al.  Exercise Pathophysiology in Patients With Primary Pulmonary Hypertension , 2001, Circulation.

[24]  D. Celermajer,et al.  Adults with congenital heart disease. , 1991, BMJ.

[25]  E. Martínez-Quintana,et al.  Rehabilitation program in adult congenital heart disease patients with pulmonary hypertension. , 2010, Congenital heart disease.

[26]  R. Channick,et al.  Exercise in patients with pulmonary arterial hypertension. , 2008, Journal of cardiopulmonary rehabilitation and prevention.

[27]  I. Aleshin [Outpatient rehabilitation of postinfarct heart failure]. , 1983, Kardiologiia.

[28]  Aleshin Ia Outpatient rehabilitation of postinfarct heart failure , 1983 .