Table 2. Summary of current available guidelines.

2013 ACCF/AHA guideline for the management of heart failure35)
	1. Exercise training (or regular physical activity) is recommended as safe and effective for patients with HF who are able to participate, to improve functional status. (Class I, level of evidence: A)
	2. Cardiac rehabilitation can be useful in clinically stable patients with HF, to improve functional capacity, exercise duration, health-related quality of life, and mortality. (Class IIa, level of evidence: B)
AHA effectiveness-based guidelines for the prevention of cardiovascular disease in women – 2011 update36)
	1. A comprehensive CVD risk-reduction regimen, such as cardiovascular or stroke rehabilitation or a physician-guided home- or community-based exercise training program, should be recommended to women with current/prior symptoms of heart failure and an LVEF of 35%. (Class I, level of evidence: B)
2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure37)
	1. It is recommended that regular aerobic exercise is encouraged in patients with HF to improve functional capacity and symptoms. (Class I, level of evidence: A)
	2. It is recommended that regular aerobic exercise is encouraged in stable patients with HFrEF to reduce the risk of HF hospitalization. (Class I, level of evidence: A)
	3. It is recommended that patients with HF are enrolled in a multidisciplinary care management program to reduce the risk of HF hospitalization and mortality. (Class I, level of evidence: A)

ACCF = American College of Cardiology Foundation; AHA = American Heart Association; CVD = cardiovascular disease; HF = heart failure; HFrEF = heart failure with reduced ejection fraction; LVEF = left ventricular ejection fraction.