TY - JOUR
T1 - Exercise programs for LVAD supported patients
T2 - A snapshot from the ESC affiliated countries
AU - Ben Gal, Tuvia
AU - Piepoli, Massimo F
AU - Corrà, Ugo
AU - Conraads, Viviane
AU - Adamopoulos, Stamatis
AU - Agostoni, Piergiuseppe
AU - Piotrowicz, Ewa
AU - Schmid, Jean-Paul
AU - Seferovic, Petar M
AU - Ponikowski, Piotr
AU - Filippatos, Gerasimos
AU - Jaarsma, Tiny
N1 - Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
PY - 2015/12/15
Y1 - 2015/12/15
N2 - 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.
AB - 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.
KW - Cardiology/methods
KW - Europe/epidemiology
KW - Exercise Therapy/methods
KW - Follow-Up Studies
KW - Heart Failure/diagnosis
KW - Humans
KW - Societies, Medical/standards
KW - Surveys and Questionnaires
U2 - 10.1016/j.ijcard.2015.08.081
DO - 10.1016/j.ijcard.2015.08.081
M3 - Article
C2 - 26301640
SN - 0167-5273
VL - 201
SP - 215
EP - 219
JO - International Journal of Cardiology
JF - International Journal of Cardiology
ER -