Putting Life in the Years

Stewart, Garrick C.

doi:10.1161/circheartfailure.116.003380

Circ: Heart Failure

2016

DOI: 10.1161/circheartfailure.116.003380

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Putting Life in the Years

Garrick C. Stewart

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2024

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Cited by 1 publication

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Exercise and cardiac rehabilitation after LVAD implantation

Newman,

Brailovsky,

Rajapreyar

2024

Heart Fail Rev

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Left ventricular assist devices (LVAD) have improved mortality and quality of life for patients with end-stage heart failure by providing an alternative to cardiac transplant or as a bridge to transplantation. The improvement in functional capacity however is minimal to modest depending on the right ventricular function, optimal hemodynamics on LVAD therapy, and comorbidities. There is improvement in submaximal exercise capacity but improvement in peak aerobic capacity is limited. Exercise capacity can be improved by referral to cardiac rehabilitation after LVAD implantation. Cardiac rehabilitation is safe and effective with improvement in functional capacity, and decrease in mortality and heart failure hospitalizations. Cardiopulmonary exercise testing (CPET) is a specialized exercise stress test that measures gas exchange during exercise to determine a variety of variables that have been shown to be predictive of mortality in patients undergoing cardiac transplant. CPET is valuable for prognostication and is a predictor of adverse outcomes, including right heart failure in the immediate post-LVAD implantation period, long-term mortality. CPET is an additional testing that can aid in the decision making for LVAD explantation or decommissioning.

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Exercise and cardiac rehabilitation after LVAD implantation

Newman,

Brailovsky,

Rajapreyar

2024

Heart Fail Rev

View full text Add to dashboard Cite

show abstract

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Putting Life in the Years

Cited by 1 publication

References 17 publications

Exercise and cardiac rehabilitation after LVAD implantation

Exercise and cardiac rehabilitation after LVAD implantation

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