Cardiac Rehabilitation in Patients With Ventricular Assist Device.

Amstad, Tabea; Taeymans, Jan; Englberger, Lars; Mohacsi, Paul; Steiner, Dieter; Wilhelm, Markus; Hermann, Matthias (2021). Cardiac Rehabilitation in Patients With Ventricular Assist Device. Journal of Cardiopulmonary Rehabilitation and Prevention, 42(2), pp. 97-102. Lippincott Williams & Wilkins 10.1097/HCR.0000000000000615

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Purpose: The aim of this study was to investigate changes in exercise capacity (EC) and quality of life (QoL) of patients with ventricular assist devices (VADs) during cardiac rehabilitation (CR). Methods: Data from patients with VAD implantation and subsequent CR between 2007 and 2017 were analyzed retrospectively. Measures of the 6-min walk test [6MWT] distance, Functional Independence Measure [FIM], ergometry, MacNew Heart Disease Questionnaire [MNH], and Hospital Anxiety and Depression Scale [HADS] at entry and discharge were examined. Results: Data from 110 patients (age 53 ± 12 yr; male 82%) were analyzed. Patients improved during CR significantly in the 6MWT (114 ± 85 m, P < .001), ergometry (20 ± 17 W, P = .002), FIM (8 ± 7 points, P < .001), and MNH (0.8 ± 0.7 points, P < .001). Initial HADS levels were high with a mean value of 9 and did not improve during CR (-0.4 ± 5 points, P = .637). Significant differences of improvements in the 6MWT were observed between left and biventricular VAD (129 ± 90 m vs 85 ± 67 m, P = .043) as well as destination therapy and bridge-to-transplant (184 ± 88 m vs 102 ± 82 m, P = .005). Conclusions: Patients with VAD implantation had statistically and clinically significant improvements in EC and QoL as assessed with the MNH during CR. Patients on destination therapy showed a larger benefit from CR than bridge-to-transplant patients and patients with left VAD improved more than biventricular VAD patients.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions
Name:	Amstad, Tabea0000-0003-1583-4043; Taeymans, Jan; Englberger, Lars; Mohacsi, Paul; Steiner, Dieter; Wilhelm, Markus and Hermann, Matthias
Subjects:	R Medicine > RD Surgery
ISSN:	1539-0691; 1932-751x
Publisher:	Lippincott Williams & Wilkins
Language:	English
Submitter:	Jan Taeymans
Date Deposited:	14 Feb 2022 14:38
Last Modified:	27 Feb 2022 01:35
Publisher DOI:	10.1097/HCR.0000000000000615
PubMed ID:	34753874
URI:	https://arbor.bfh.ch/id/eprint/16376