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Aerobics Turn Enlarged Heart into a Trimmer, More Efficient Organ

ensive dietary, lifestyle and, especially, medication and device treatments tailored to meet their needs. It's not a substitute," Dr Rubin added.

Dr. Rubin added that patients with heart failure should not initiate exercise training on their own. To be safe, they should first be evaluated by a cardiologist and monitored during exercise, at least initially. Finding a way to pay for supervised exercise training is a challenge, however, as Medicare and most private insurance carriers approve payment for cardiac rehabilitation only if the patient has recently experienced a heart attack.

"If this study proves that training not only improves the exercise capability of patients, but also extends their life and reduces hospitalizations, insurance payers are likely to support this as an important addition to an increasingly potent array of treatments for heart failure," Dr. Rubin said. The study is published in the June 19, 2007, issue of the Journal of the American College of Cardiology (JACC).


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