Exercise physiology, testing, and training in patients supported by a left ventricular assist device
Exercise physiology, testing, and training in patients supported by a left ventricular assist device
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DOI：
10.1016/j.healun.2014.12.006
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发表时间：
2015-08-01
影响因子：
8.9
通讯作者：
Shah, Keyur
中科院分区：
文献类型：
--
作者：
Loyaga-Rendon, Renzo Y.;Plaisance, Eric P.;Shah, Keyur
左心室辅助装置（LVAD）是一种公认的治疗终末期心力衰竭的替代方法。随着我们在不太严重的心衰病例中植入左心室辅助装置，对功能能力和生活质量的检查变得更加重要。患者在LVAD植入后表现出运动能力的改善，但效果低于预期。运动训练对心力衰竭患者产生多种有益效果，有望提高生活质量。在这篇综述中，我们描述了被认为参与lvad支持患者持续运动障碍的因素，总结了目前关于运动训练对lvad支持患者影响的知识，并提出了未来研究的领域。(C) 2015国际心肺移植学会。版权所有。
The left ventricular assist device (LVAD) is an accepted treatment alternative for the management of end-stage heart failure. As we move toward implantation of LVADs in less severe cases of HF, scrutiny of functional capacity and quality of life becomes more important. Patients demonstrate improvements in exercise capacity after LVAD implantation, but the effect is less than predicted. Exercise training produces multiple beneficial effects in heart failure patients, which would be expected to improve quality of life. In this review, we describe factors that are thought to participate in the persistent exercise impairment in LVAD-supported patients, summarize current knowledge about the effect of exercise training in LVAD-supported patients, and suggest areas for future research. (C) 2015 International Society for Heart and Lung Transplantation. All rights reserved.