Exercise programs for LVAD supported patients: A snapshot from the ESC affiliated countries
Journal article
Gal, Tuvia Ben, Piepoli, Massimo F., Corra, Ugo, Conraads, Viviane, Adamopoulos, Stamatis, Agostoni, Piergiuseppe, Piotrowicz, Ewa, Schmid, Jean-Paul, Seferovic, Petar M., Ponikowski, Piotr P., Filippatos, Gerasimos S. and Jaarsma, Tiny. (2015). Exercise programs for LVAD supported patients: A snapshot from the ESC affiliated countries. International Journal of Cardiology. 201(December), pp. 215 - 219. https://doi.org/10.1016/j.ijcard.2015.08.081
Authors | Gal, Tuvia Ben, Piepoli, Massimo F., Corra, Ugo, Conraads, Viviane, Adamopoulos, Stamatis, Agostoni, Piergiuseppe, Piotrowicz, Ewa, Schmid, Jean-Paul, Seferovic, Petar M., Ponikowski, Piotr P., Filippatos, Gerasimos S. and Jaarsma, Tiny |
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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. |
Keywords | cardiac rehabilitation; exercise training; heart failure; left ventricular assist device |
Year | 2015 |
Journal | International Journal of Cardiology |
Journal citation | 201 (December), pp. 215 - 219 |
Publisher | Elsevier Ireland Ltd. |
ISSN | 0167-5273 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.ijcard.2015.08.081 |
Page range | 215 - 219 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Netherlands |
Editors | A.J.S. Coats |
https://acuresearchbank.acu.edu.au/item/876yx/exercise-programs-for-lvad-supported-patients-a-snapshot-from-the-esc-affiliated-countries
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