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Exercise for Patients With Hypertrophic Cardiomyopathy—Reply

20:00 EDT 31 Jul 2017 | JAMA

In Reply The definitions for moderate- vs vigorous-intensity exercise have evolved. At the time of protocol design, we targeted the upper range of the moderate-intensity scale according to the American Heart Association: Borg rating of perceived exertion of 11 to 14, 50% to 70% of the heart rate reserve. This corresponds to the recommended target for exercise in patients with chronic heart failure. The design for the largest study of exercise training in chronic heart failure was also published about the same time, and the training protocol was similar (participants began exercising at a heart rate range of 60% of heart rate reserve and then increased to 70%).

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