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Committee on Exercise Physiology and Training in Heart Failure

Learn more about the purpose of this group and who its members are

The Committee on Exercise Physiology and Training in Heart Failure mission is the investigation of the causes of abnormal responses to physical stress, which are cardinal features in the clinical manifestation of HF syndrome. And the promotion of physical activity and training as key components in heart failure management, to improve symptoms and (probably) prognosis.

Article of the month

ExtraHF survey: the first European survey on implementation of exercise training in heart failure patients

Massimo F. Piepoli, Simone Binno, Ugo Corrà, Petar Seferovic, Viviane Conraads, Tiny Jaarsma, Jean-Paul Schmid, Gerasimos Filippatos, Piotr P. Ponikowski and on behalf of the Committee on Exercise Physiology & Training of the Heart Failure Association of the ESC

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AIMS: In heart failure (HF), exercise training programmes (ETPs) are a well-recognized intervention to improve symptoms, but are still poorly implemented. The Heart Failure Association promoted a survey to investigate whether and how cardiac centres in Europe are using ETPs in their HF patients.

METHODS AND RESULTS: The co-ordinators of the HF working groups of the countries affiliated to the European Society of Cardiology (ESC) distributed and promoted the 12-item web-based questionnaire in the key cardiac centres of their countries. Forty-one country co-ordinators out of the 46 contacted replied to our questionnaire (89%). This accounted for 170 cardiac centres, responsible for 77 214 HF patients. The majority of the participating centres (82%) were general cardiology units and the rest were specialized rehabilitation units or local health centres. Sixty-seven (40%) centres [responsible for 36 385 (48%) patients] did not implement an ETP. This was mainly attributed to the lack of resources (25%), largely due to lack of staff or lack of financial provision. The lack of a national or local pathway for such a programme was the reason in 13% of the cases, and in 12% the perceived lack of evidence on safety or benefit was cited. When implemented, an ETP was proposed to all HF patients in only 55% of the centres, with restriction according to severity or aetiology.

CONCLUSIONS: With respect to previous surveys, there is evidence of increased availability of ETPs in HF in Europe, although too many patients are still denied a highly recommended therapy, mainly due to lack of resources or logistics.


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Papers on Exercise Training

Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation.

Adherence of heart failure patients to exercise: barriers and possible solutions
A position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology

Educational workshops 

2013: Exercise Rehabilitation and Long Term Management of Heart Failure Patients 

Next workshop: June 2015


To investigate the causes of exercise intolerance, by addressing the multiple aetiologies, in experimental and clinical settings

Future scientific contributions coming from the Committee:

  • Cardiopulmonary Exercise Testing & prognosis in Heart Failure. Position Paper writing group leader: Dr U Corrà
  • Cardiopulmonary Exercise Testing: Uncertainties, future directions and research. Position Paper writing group leader: Dr U Corrà
  • Telerehabilitation in HF - Review. Writing group leader:  Dr E Piotrowicz

To investigate new modalities of exercise implementation in emerging clinical scenarios:

  • GUCH
  • patients with VAD
  • patients pulmonary hypertension
  • aging/ octogenarian patients
  • cachectic and severe


Dr Massimo F Piepoli, FESC, FACC (Piacenza, IT) - email

Committee members

Piotr Ponikowski, FESC (Wroclaw, PL)
Alain Cohen Solal (Paris,FR)
Stamatis Adamopoulos, FESC (Athens, GR)
Tiny Jaarsma NFESC (Linkoping, SE)
Burkert Pieske FESC (Graz, AT)
Ewa Piotrowicz (Warsaw,PL)
Jean-Paul Schmid (Bern, CH)
Petar Seferovic FESC (Belgrade, RS)
Andrew Coats FESC (Warwick, UK)
Piergiuseppe Agostoni FESC (Milan, IT)
Ekaterini Lambrinou (Nicosia, CY)

Affiliated members

Ugo Corra (Veruna, IT)
Simone Binno (Piacenza, IT)
Giuseppe Caminiti (Rome, IT)
Costas Davos (Athens,GR)
M Christi Deaton (CAmbridge, UK)
Michele Emdin (Pisa, IT)
Francesco Giallauria (Naples, IT)
Lars Gullestad (Oslo, NO)
Ioannis Laoutaris (Athens, GR)
Claudio Passino (Pisa,IT)
Massimo Pistono Veruno, IT)
Rod Taylor (Exeter, UK)