What physical activity is indicated for patients with idiopathic pulmonary arterial hypertension (IPAH)?

Updated: Jul 08, 2020
  • Author: Ronald J Oudiz, MD, FACP, FACC, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Limited data are available on cardiopulmonary rehabilitation. The generally accepted recommendation is that patients with pulmonary hypertension and heart failure should perform mild symptom-limited aerobic activity and avoid complete bed rest. Isometric exercises (weight lifting) are contraindicated.

A European study involving an intensive inpatient and outpatient exercise training and conditioning program demonstrated the safety and efficacy of exercise as a treatment modality for patients with PAH. [49] While longer-term outcomes are needed, the PAH community considers exercise in moderation a safe and potentially effective adjunctive nonpharmacologic therapy.


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