Exercise Training and Cardiac Resynchronization Therapy in Chronic Heart Failure Patients

This clinical trial focuses on heart failure patients who have recently undergone Cardiac Resynchronization Therapy (CRT), a treatment for moderate to severe heart failure. The main goal is to understand the effects of adding an exercise training (ExT) program to the CRT treatment. Heart failure patients often experience symptoms like shortness of breath, fatigue, and reduced exercise capacity. This study aims to improve these symptoms and overall quality of life by combining CRT with ExT. The study is particularly important for severe heart failure patients, as current research lacks information on the effects of this combined therapy for this group. During the trial, participants will follow an exercise training program that starts after their CRT. This program includes aerobic exercises, resistive exercises, and sensoriomotor exercises. The intensity of the exercises will gradually increase over time, allowing patients to improve their exercise capacity without causing undue stress or fatigue. The study will measure changes in heart function, exercise capacity, and quality of life. It will also evaluate the impact of the exercise program on the autonomic nervous system, which controls heart rate and blood pressure. The expected outcome is an improvement in symptoms, heart function, and overall quality of life for patients who participate in the exercise program.