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Effects of cardiac rehabilitation in patients with ventricular assist devices: a scoping review.
Portuguez Jaramillo, Nelson Esteban; Ceron, Angely Paola; Piñeros Álvarez, Jose Luis; Giron Ruiz, Eleonora; Castro Gómez, Carolina.
Afiliação
  • Portuguez Jaramillo NE; Faculty of Health, Universidad Santiago de Cali, Cl. 5 #No. 62-00, 760035 Cali, Colombia.
  • Ceron AP; Physical Medicine and Rehabilitation E.S.E., Hospital Universitario Evaristo Garcia ESE, Cl. 5 #36-00, 760042 Cali, Colombia.
  • Piñeros Álvarez JL; Basic Sciences Department, Institución Universitaria Colegios de Colombia Unicoc-Cali, 760045 Cali, Colombia.
  • Giron Ruiz E; Coordination of Research, Innovation and Teaching Service, Clínica Colombia, Cra. 46 #9c-58, 760036 Cali, Colombia.
  • Castro Gómez C; Faculty of Health, Universidad Santiago de Cali, Cl. 5 #No. 62-00, 760035 Cali, Colombia - Fundación Valle del Lili, Medicina física y rehabilitación, Carrera. 98 #18-49, 760032 Cali, Colombia.
J Extra Corpor Technol ; 56(3): 128-135, 2024 Sep.
Article em En | MEDLINE | ID: mdl-39303136
ABSTRACT

INTRODUCTION:

Ventricular assist devices represent a treatment option for patients with advanced heart failure, offering control over various haemodynamic variables. Similarly, the prescription of exercise within a cardiac rehabilitation programme for heart failure patients is recommended to reduce symptoms, and hospitalisations, improve cardiorespiratory fitness, and increase exercise tolerance. Therefore, exercise prescription can impact those with ventricular assist devices. Given the limited evidence on exercise-based cardiac rehabilitation programmes for this population, this review aims to describe the most commonly used strategies and their health benefits when physical exercise is included in a cardiac rehabilitation programme for patients with ventricular assist devices. MATERIALS AND

METHODS:

An exploratory review was conducted through searches in the databases PubMed, SCOPUS, PeDro, and ScienceDirect. The search was limited to studies published between 2013 and 2023. Filters were applied independently by title, abstract, and full text. The included articles were analysed based on the description of the types of cardiac rehabilitation strategies used in patients with ventricular assist devices.

RESULTS:

Seven articles were included. Each programme employed a cardiopulmonary exercise test before prescribing physical exercise. The most commonly used strategy was aerobic exercise, predominantly high-intensity interval training (HIIT) with intensities close to 90% of peak VO2, followed by continuous moderate-intensity exercise. Limb strength exercises were included in three programmes.

CONCLUSIONS:

The analysed literature suggests that cardiac rehabilitation in patients with ventricular assist devices is safe and can provide benefits in cardiorespiratory fitness and exercise tolerance. High-intensity interval training is identified as an appropriate strategy for achieving results, offering short-term improvements.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coração Auxiliar / Terapia por Exercício / Reabilitação Cardíaca / Insuficiência Cardíaca Limite: Humans Idioma: En Revista: J Extra Corpor Technol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: França

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Coração Auxiliar / Terapia por Exercício / Reabilitação Cardíaca / Insuficiência Cardíaca Limite: Humans Idioma: En Revista: J Extra Corpor Technol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: França