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

Ben Gal, Tuvia (author)
Rabin Medical Centre, Israel; Tel Aviv University, Israel
Piepoli, Massimo F. (author)
G da Saliceto Polichirurg Hospital, Italy
Corra, Ugo (author)
IRCCS Science Institute Veruno, Italy
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Conraads, Viviane (author)
University of Antwerp Hospital, Belgium
Adamopoulos, Stamatis (author)
Onassis Cardiac Surg Centre, Greece
Agostoni, Piergiuseppe (author)
IRCCS, Italy
Piotrowicz, Ewa (author)
Institute Cardiol, Poland
Schmid, Jean-Paul (author)
Tiefenau Hospital, Switzerland; University of Bern, Switzerland
Seferovic, Petar M. (author)
University of Belgrade, Serbia
Ponikowski, Piotr (author)
Wroclaw Medical University, Poland
Filippatos, Gerasimos (author)
Athens University Hospital Attikon, Greece
Jaarsma, Tiny (author)
Linköpings universitet,Hälsa, Aktivitet, Vård (HAV),Medicinska fakulteten
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 (creator_code:org_t)
ELSEVIER IRELAND LTD, 2015
2015
English.
In: International Journal of Cardiology. - : ELSEVIER IRELAND LTD. - 0167-5273 .- 1874-1754. ; 201, s. 215-219
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

Subject headings

SAMHÄLLSVETENSKAP  -- Sociologi (hsv//swe)
SOCIAL SCIENCES  -- Sociology (hsv//eng)

Keyword

Cardiac rehabilitation; Exercise training; Heart failure; Left ventricular assist device

Publication and Content Type

ref (subject category)
art (subject category)

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