Rehabilitating cardiac rehabilitation after heart transplantation

Lavie, Carl J.; Haykowsky, Mark J.; Ventura, Héctor O.

doi:10.1016/j.healun.2017.08.010

“…At discharge, heart recipients should be able to walk on a level surface for a period of 40-60 min at speeds of 80-100 m/min, 4-5 times a week [2]. Long-term multidisciplinary CR is very important after HTx [152] and includes phases III (exercise and education programme) that is followed by phase IV (maintenance) [2].…”

Section: Rehabilitation After Heart Transplantation Early-and Long-te...mentioning

confidence: 99%

“…Long-term multidisciplinary CR is very important after HTx [ 152 ] and includes phases III (exercise and education programme) that is followed by phase IV (maintenance) [ 2 ]. Only half of HTx recipients participate in CR programmes, and those who do have a lower 1-year readmission risk [ 153 ].…”

Section: Rehabilitation After Heart Transplantationmentioning

confidence: 99%

Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT

Simonenko,

Hansen,

Niebauer

et al. 2024

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Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients’ physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus statement focuses on the importance and the characteristics of prevention and rehabilitation designed for HTx recipients.

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Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT

Simonenko,

Hansen,

Niebauer

et al. 2024

European Journal of Preventive Cardiology

1

0

1

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Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients’ physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus

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Performance Limitations in Heart Transplant Recipients

Tucker

¹

,

Beaudry²,

Samuel

³

et al. 2018

Exercise and Sport Sciences Reviews

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We hypothesize that the reduced peak aerobic power (peak VO2) following heart transplantation (HT) is due to impaired cardiovascular and skeletal muscle function, and its improvement with short-term (≤1 year) exercise training is primarily due to favorable skeletal muscle adaptations. Further, the increased peak VO2 with long-term (>2 years) training is primarily mediated by cardiac (sympathetic) reinnervation.

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Rehabilitating cardiac rehabilitation after heart transplantation

Cited by 4 publications

References 17 publications

Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT

Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT

Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT

Performance Limitations in Heart Transplant Recipients

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