Gal, T. B, Piepoli, M. F, Corra, U., Conraads, V., Adamopoulos, S., Agostoni, P., Piotrowicz, E., Schmid, J., Seferovic, P. M, Ponikowski, P. P, Filippatos, G. S & Jaarsma, T. (2015). Exercise programs for LVAD supported patients: A snapshot from the ESC affiliated countries. International Journal of Cardiology,201(December), A.J.S. Coats. 215-219. Netherlands: Elsevier Ireland Ltd. Retrieved from https://doi.org/10.1016/j.ijcard.2015.08.081
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.
Mary MacKillop Institute for Health Research
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