Congestive heart failure (CHF) patients who exercise regularly can inc
rease exercise tolerance, decrease dyspnea and fatigue, reduce the ris
k of arrhythmias, and improve quality of life. Initial stress testing
is important for assessing a pdentC physiologic response to exercise a
d for establishing a target heart rate for an individualized exercise
program. Patients may need to begin aerobic exercise with interval tra
ining and progress slowly. Strength exercise is also useful. Exercise
used along with the customarily prescribed CHF mediationsimproves symp
toms more than either modality alone.