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

Research output: Contribution to journalReview articlepeer-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 languageEnglish
Pages (from-to)3-13
Number of pages11
JournalEuropean Journal of Heart Failure
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 2019

Keywords

  • Cardiology
  • Europe
  • Exercise/physiology
  • Exercise Therapy/methods
  • Heart Failure/physiopathology
  • Heart-Assist Devices
  • Humans
  • Practice Guidelines as Topic
  • Societies, Medical

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