Title |
Exercise programs for LVAD supported patients: A snapshot from the ESC affiliated countries
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Published in |
International Journal of Cardiology, August 2015
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DOI | 10.1016/j.ijcard.2015.08.081 |
Pubmed ID | |
Authors |
Tuvia Ben Gal, Massimo F. Piepoli, Ugo Corrà, Viviane Conraads, Stamatis Adamopoulos, Piergiuseppe Agostoni, Ewa Piotrowicz, Jean-Paul Schmid, Petar M. Seferovic, Piotr Ponikowski, Gerasimos Filippatos, Tiny Jaarsma, on behalf of the Committee on Exercise Physiology & Training of the Heart Failure Association and endorsed by the Cardiac Rehabilitation Section of the European Association for Cardiovascular Rehabilitation and Prevention of the ESC |
Abstract |
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. A subset of data from 77 (26 countries) LVAD implanting centers that participated in the Extra-HF survey (170 centers) was analyzed. 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). 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 1% |
United States | 1 | 1% |
Unknown | 94 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 12 | 13% |
Student > Ph. D. Student | 11 | 11% |
Student > Master | 10 | 10% |
Student > Bachelor | 10 | 10% |
Student > Doctoral Student | 8 | 8% |
Other | 23 | 24% |
Unknown | 22 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 32 | 33% |
Nursing and Health Professions | 15 | 16% |
Sports and Recreations | 9 | 9% |
Biochemistry, Genetics and Molecular Biology | 5 | 5% |
Psychology | 3 | 3% |
Other | 10 | 10% |
Unknown | 22 | 23% |