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

被引：90

作者：

Adamopoulos, Stamatis ^{[1
]}

Corra, Ugo ^{[2
]}

Laoutaris, Ioannis D. ^{[1
]}

Pistono, Massimo ^{[2
]}

Agostoni, Pier Giuseppe ^{[3
,4
]}

Coats, Andrew J. S. ^{[5
]}

Leiro, Maria G. Crespo ^{[6
]}

Cornelis, Justien ^{[7
]}

Davos, Constantinos H. ^{[8
]}

Filippatos, Gerasimos ^{[9
]}

Lund, Lars H. ^{[10
,11
]}

Jaarsma, Tiny ^{[12
]}

Ruschitzka, Frank ^{[13
]}

Seferovic, Petar M. ^{[14
]}

Schmid, Jean-Paul ^{[15
]}

Volterrani, Maurizio ^{[5
]}

Piepoli, Massimo F. ^{[16
]}

机构：

[1] Onassis Cardiac Surg Ctr, Heart Failure & Heart Transplantat Unit, Athens, Greece

[2] Ctr Med Riabilitaz Veruno, Ist Clin Sci Maugeri, Cardiol Dept, Novara, Italy

[3] IRCCS, Ctr Cardiol Monzino, Milan, Italy

[4] Univ Milan, Dept Clin Sci & Community Hlth, Cardiovasc Sect, Milan, Italy

[5] IRCCS San Raffaele Pisana, Dept Cardiol, Rome, Italy

[6] UDC, CIBERCV, CHUAC, INIBIC,Heart Failure & Transplant Unit, La Coruna, Spain

[7] Univ Antwerp, Translat Pathophysiol Res, Fac Med & Hlth Sci, Antwerp, Belgium

[8] Acad Athens, Biomed Res Fdn, Cardiovasc Res Lab, Athens, Greece

[9] Attikon Univ Hosp, Heart Failure Unit, Athens, Greece

[10] Karolinska Inst, Dept Med, Stockholm, Sweden

[11] Karolinska Univ Hosp, Heart & Vasc Theme, Stockholm, Sweden

[12] Univ Linkoping, Dept Nursing, Linkoping, Sweden

[13] Univ Heart Ctr, Dept Cardiol, Zurich, Switzerland

[14] Univ Belgrade, Sch Med, Belgrade, Serbia

[15] Klin Barmelweid AG, Chefarzt Kardiol, Barmelweid, Switzerland

[16] Guglielmo da Saliceto Hosp, Cardiac Dept, Heart Failure Unit, Piacenza, Italy

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2019年 / 21卷 / 01期

关键词：

Exercise training; Left ventricular assist device; Mechanical circulatory support; Chronic heart failure; INCREASING PUMP SPEED; CARDIAC REHABILITATION; CARDIOVASCULAR PREVENTION; FUNCTIONAL-CAPACITY; SUPPORTED PATIENTS; PHYSICAL-ACTIVITY; FLOW; RECOVERY; MECHANISMS; MANAGEMENT;

D O I：

10.1002/ejhf.1352

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

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.

引用

页码：3 / 13

页数：11

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