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Exercise programs for LVAD supported patients: A snapshot from the ESC affiliated countries.

Abstract：

BACKGROUND:To contribute to the protocol development of exercise training in LVAD supported patients by reviewing the exercise programs for those patients in the ESC affiliated countries. METHODS:A subset of data from 77 (26 countries) LVAD implanting centers that participated in the Extra-HF survey (170 centers) was analyzed. RESULTS:Of the 77 LVAD implanting centers, 45 (58%) reported to have a functioning exercise training program (ETP) for LVAD patients. In 21 (47%) of the 45 ETP programs in LVAD implanting centers, patients begin their ETP during their in-hospital post-operative recovery period. Most centers (71%) have an early post-discharge program for their patients, and 24% of the centers offer a long-term maintenance program. The professionals involved in the ETPs are mainly physiotherapists (73%), psychologists, cardiac rehab nurses (22%), or cardiologists specialized in rehabilitation (22%). Not all programs include the treating cardiologist or surgeons. Most of the ETPs (84%) include aerobic endurance training, mostly cycling (73%), or walking (62%) at low intensity intervals. Some programs apply resistance training (47%), respiratory muscle training (55%), or balance training (44%). Reasons for the absence of ETPs are referral of patients to another center (14 centers) and lack of resources (11 centers). CONCLUSION:There is a great variance in ETPs in LVAD implanting centers. Not all the implanting centers have an ETP, and those that do have adopted a local protocol. Clear guidance on ETP supplied by LVAD implanting centers to LVAD supported patients and more evidence for optimal modalities are needed.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Ben Gal T,Piepoli MF,Corrà U,Conraads V,Adamopoulos S,Agostoni P,Piotrowicz E,Schmid JP,Seferovic PM,Ponikowski P,Filippatos G,Jaarsma T,Committee on Exercise Physiology & Training of Heart Failure Association and endorsed by Car

doi

10.1016/j.ijcard.2015.08.081

subject

Has Abstract

pub_date

2015-12-15 00:00:00

pages

215-9

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(15)30310-7

journal_volume

201

pub_type

杂志文章,多中心研究

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