Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

Stamatis Adamopoulos; Ugo Corrà; Ioannis D Laoutaris; Massimo Pistono; Pier Giuseppe Agostoni; Andrew J S Coats; Maria G Crespo Leiro; Justien Cornelis; Constantinos H Davos; Gerasimos Filippatos; Lars H Lund; Tiny Jaarsma; Frank Ruschitzka; Petar M Seferovic; Jean-Paul Schmid; Maurizio Volterrani; Massimo F Piepoli

doi:10.1002/ejhf.1352

Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

Stamatis Adamopoulos, Ugo Corrà, Ioannis D Laoutaris, Massimo Pistono, Pier Giuseppe Agostoni, Andrew J S Coats, Maria G Crespo Leiro, Justien Cornelis, Constantinos H Davos, Gerasimos Filippatos, Lars H Lund, Tiny Jaarsma, Frank Ruschitzka, Petar M Seferovic, Jean-Paul Schmid, Maurizio Volterrani, Massimo F Piepoli

Julius Center, dept. General Practice & Nursing Science

Research output: Contribution to journal › Review article › peer-review

Abstract

Exercise training (ET) and secondary prevention measures in cardiovascular disease aim to stimulate early physical activity and to facilitate recovery and improve health behaviours. ET has also been proposed for heart failure patients with a ventricular assist device (VAD), to help recovery in the patient's functional capacity. However, the existing evidence in support of ET in these patients remains limited. After a review of current knowledge on the causes of the persistence of limitation in exercise capacity in VAD recipients, and concerning the benefit of ET in VAD patients, the Heart Failure Association of the European Society of Cardiology has developed the present document to provide practical advice on implementing ET. This includes appropriate screening to avoid complications and then starting with early mobilisation, ET prescription is individualised to meet the patient's needs. Finally, gaps in our knowledge are discussed.

Original language	English
Pages (from-to)	3-13
Number of pages	11
Journal	European Journal of Heart Failure
Volume	21
Issue number	1
DOIs	https://doi.org/10.1002/ejhf.1352
Publication status	Published - Jan 2019

Keywords

Chronic heart failure
Exercise training
Left ventricular assist device
Mechanical circulatory support

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Adamopoulos, S., Corrà, U., Laoutaris, I. D., Pistono, M., Agostoni, P. G., Coats, A. J. S., Crespo Leiro, M. G., Cornelis, J., Davos, C. H., Filippatos, G., Lund, L. H., Jaarsma, T., Ruschitzka, F., Seferovic, P. M., Schmid, J.-P., Volterrani, M., & Piepoli, M. F. (2019). Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure, 21(1), 3-13. https://doi.org/10.1002/ejhf.1352

Adamopoulos, Stamatis ; Corrà, Ugo ; Laoutaris, Ioannis D et al. / Exercise training in patients with ventricular assist devices : a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology. In: European Journal of Heart Failure. 2019 ; Vol. 21, No. 1. pp. 3-13.

@article{a88eaa8d98f541a39bcf8be79c49ae01,

title = "Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology",

abstract = "Exercise training (ET) and secondary prevention measures in cardiovascular disease aim to stimulate early physical activity and to facilitate recovery and improve health behaviours. ET has also been proposed for heart failure patients with a ventricular assist device (VAD), to help recovery in the patient's functional capacity. However, the existing evidence in support of ET in these patients remains limited. After a review of current knowledge on the causes of the persistence of limitation in exercise capacity in VAD recipients, and concerning the benefit of ET in VAD patients, the Heart Failure Association of the European Society of Cardiology has developed the present document to provide practical advice on implementing ET. This includes appropriate screening to avoid complications and then starting with early mobilisation, ET prescription is individualised to meet the patient's needs. Finally, gaps in our knowledge are discussed.",

keywords = "Chronic heart failure, Exercise training, Left ventricular assist device, Mechanical circulatory support",

author = "Stamatis Adamopoulos and Ugo Corr{\`a} and Laoutaris, {Ioannis D} and Massimo Pistono and Agostoni, {Pier Giuseppe} and Coats, {Andrew J S} and {Crespo Leiro}, {Maria G} and Justien Cornelis and Davos, {Constantinos H} and Gerasimos Filippatos and Lund, {Lars H} and Tiny Jaarsma and Frank Ruschitzka and Seferovic, {Petar M} and Jean-Paul Schmid and Maurizio Volterrani and Piepoli, {Massimo F}",

note = "Publisher Copyright: {\textcopyright} 2018 The Authors. European Journal of Heart Failure {\textcopyright} 2018 European Society of Cardiology",

year = "2019",

month = jan,

doi = "10.1002/ejhf.1352",

language = "English",

volume = "21",

pages = "3--13",

journal = "European Journal of Heart Failure",

issn = "1388-9842",

publisher = "Oxford University Press",

number = "1",

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Adamopoulos, S, Corrà, U, Laoutaris, ID, Pistono, M, Agostoni, PG, Coats, AJS, Crespo Leiro, MG, Cornelis, J, Davos, CH, Filippatos, G, Lund, LH, Jaarsma, T, Ruschitzka, F, Seferovic, PM, Schmid, J-P, Volterrani, M & Piepoli, MF 2019, 'Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology', European Journal of Heart Failure, vol. 21, no. 1, pp. 3-13. https://doi.org/10.1002/ejhf.1352

Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology. / Adamopoulos, Stamatis; Corrà, Ugo; Laoutaris, Ioannis D et al.
In: European Journal of Heart Failure, Vol. 21, No. 1, 01.2019, p. 3-13.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Exercise training in patients with ventricular assist devices

T2 - a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

AU - Adamopoulos, Stamatis

AU - Corrà, Ugo

AU - Laoutaris, Ioannis D

AU - Pistono, Massimo

AU - Agostoni, Pier Giuseppe

AU - Coats, Andrew J S

AU - Crespo Leiro, Maria G

AU - Cornelis, Justien

AU - Davos, Constantinos H

AU - Filippatos, Gerasimos

AU - Lund, Lars H

AU - Jaarsma, Tiny

AU - Ruschitzka, Frank

AU - Seferovic, Petar M

AU - Schmid, Jean-Paul

AU - Volterrani, Maurizio

AU - Piepoli, Massimo F

PY - 2019/1

Y1 - 2019/1

N2 - Exercise training (ET) and secondary prevention measures in cardiovascular disease aim to stimulate early physical activity and to facilitate recovery and improve health behaviours. ET has also been proposed for heart failure patients with a ventricular assist device (VAD), to help recovery in the patient's functional capacity. However, the existing evidence in support of ET in these patients remains limited. After a review of current knowledge on the causes of the persistence of limitation in exercise capacity in VAD recipients, and concerning the benefit of ET in VAD patients, the Heart Failure Association of the European Society of Cardiology has developed the present document to provide practical advice on implementing ET. This includes appropriate screening to avoid complications and then starting with early mobilisation, ET prescription is individualised to meet the patient's needs. Finally, gaps in our knowledge are discussed.

AB - Exercise training (ET) and secondary prevention measures in cardiovascular disease aim to stimulate early physical activity and to facilitate recovery and improve health behaviours. ET has also been proposed for heart failure patients with a ventricular assist device (VAD), to help recovery in the patient's functional capacity. However, the existing evidence in support of ET in these patients remains limited. After a review of current knowledge on the causes of the persistence of limitation in exercise capacity in VAD recipients, and concerning the benefit of ET in VAD patients, the Heart Failure Association of the European Society of Cardiology has developed the present document to provide practical advice on implementing ET. This includes appropriate screening to avoid complications and then starting with early mobilisation, ET prescription is individualised to meet the patient's needs. Finally, gaps in our knowledge are discussed.

KW - Chronic heart failure

KW - Exercise training

KW - Left ventricular assist device

KW - Mechanical circulatory support

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U2 - 10.1002/ejhf.1352

DO - 10.1002/ejhf.1352

M3 - Review article

C2 - 30474896

SN - 1388-9842

VL - 21

SP - 3

EP - 13

JO - European Journal of Heart Failure

JF - European Journal of Heart Failure

IS - 1

ER -

Adamopoulos S, Corrà U, Laoutaris ID, Pistono M, Agostoni PG, Coats AJS et al. Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure. 2019 Jan;21(1):3-13. doi: 10.1002/ejhf.1352

Exercise training in patients with ventricular assist devices: a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

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