Why the study?
Little is known about physical activity patterns or lifestyle-related prevention in heart transplantation recipients, and no guidelines or position papers highlight prevention and rehabilitation after heart transplantation.
This document addresses a gap in guidelines by providing a clinical consensus on the necessity and structure of prevention and rehabilitation programs for heart transplant recipients.
Answers are grounded in this paper and cite their sources.
Early multidisciplinary prevention and rehabilitation should be prioritized post-heart transplant; extends guidelines to this previously underserved population.
Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients' physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus.
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Simonenko et al. (2024) studied this question.
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