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Key Publications August 3, 2009

Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized controlled trial.

JAMA 2009;301:1439-50

O'Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, Leifer ES, Kraus WE, Kitzman DW, Blumenthal JA, Rendall DS, Miller NH, Fleg JL, Schulman KA, McKelvie RS, Zannad F, Piña IL, HF-ACTION Investigators

Description

This study tested the efficacy and safety of aerobic exercise training in patients with chronic heart failure (n=2,331) followed for 2.5 years. Exercise training resulted in nonsignificant reductions of all-cause mortality or all-cause hospitalization and in secondary clinical endpoints (all-cause mortality, the composite of cardiovascular mortality or cardiovascular hospitalization and the composite of cardiovascular mortality or heart failure hospitalization). However, after adjusting for highly prognostic predictors of the primary endpoint, exercise training was associated with modest but significant reductions for both all-cause mortality or hospitalization and cardiovascular mortality or heart failure hospitalization.
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