Carlos Alberto Cordeiro Hossri et al. Fernando José Pinho Queiroga Júnior Vitor Oliveira Carvalho Carlos Roberto Ribeiro Carvalho Andre Luis Pereira Albuquerque
Introduction
Heart failure is associated with high mortality and significantly reduced exercise capacity in many cases, despite medical treatment. Patients may present also renal failure, one of the most important comorbidities, which contributes even more to a poor prognosis, especially in patients who are already attending dialysis sessions . Reduction of renal function occurs in approximately 25% of patients with chronic heart failure, regardless the severity of left ventricular dysfunction .
Exercise training is formally recommended as a safe non-pharmacological intervention in stable heart failure ,. Nevertheless, many patients in severe stage are extremely symptomatic and consider themselves as incapable to attend an exerce training program. The association of heart failure and renal failure in use of continuous ambulatory peritoneal dialysis makes this attendance even more complicated. The physicians also are insecure and resistant to recommend cardiopulmonary rehabilitation for a patient with such important impairment.
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