Exercise Training in Valvular Heart Disease

Asymptomatic or mildly symptomatic patients with valvular heart disease are usually not included in medically supervised exercise training programs as part of the conservative management. However, physical conditioning and individually tailored exercise training are advisable for most patients after valve replacement, taking into account left ventricular function, previous level of training, the type of valve replaced, pulmonary hypertension, and heart rate. The general circulatory responses to exercise are of benefit to most of these patients, and could contribute to an overall improvement in the quality of life.

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