Key result
Pre-transplant cardiac rehabilitation linked to ~32% higher physical quality of life and increased activity post-transplantation.
Why the study?
Exercise therapy in cardiac rehabilitation improves exercise capacity and quality of life in heart failure, but data on inpatient center-based cardiac rehabilitation before heart transplantation are limited.
Does pre-transplantation center-based cardiac rehabilitation improve postoperative quality of life and adherence to exercise in patients undergoing heart transplantation?
Case Report (n=3)
No
Does pre-transplantation center-based cardiac rehabilitation improve postoperative quality of life and adherence to exercise in patients undergoing heart transplantation?
Pre-transplantation center-based cardiac rehabilitation during hospitalization may improve postoperative quality of life and physical activity levels in patients undergoing heart transplantation.
BACKGROUND: Heart transplantation (HTx) is the final treatment option for patients with chronic heart failure. Several studies have reported that exercise therapy, which is a component of cardiac rehabilitation, improves exercise capacity and the quality of life (QOL) in patients with heart failure. METHODS: Three patients, referred to an inpatient cardiac rehabilitation before HTx, participated in center-based cardiac rehabilitation (CBCR) during the hospitalization period. The CBCR, including aerobic exercises and resistance training, was conducted 3-4 days/week under cardiac rehabilitation team. Clinical outcomes included QOL using short form (SF)-36 questionnaire and the level of physical activity using international physical activity questionnaire (IPAQ) were evaluated before and after following the CBCR. RESULTS: These patients showed an improved QOL in physical components with mean 32% and in mental components with mean 43%. The adherence to exercise confirmed by level of physical activity also increased as much as mean 1275 MET-minutes at 3 months after transplantation. CONCLUSIONS: The findings in case report show the safety and effectiveness of CBCR in patients waiting for HTx during hopitalization. This is the first case report showing the effect of CBCR in admission period in Korean patients undergoing HTx.
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Seo et al. (2022) conducted a case report in Heart failure requiring heart transplantation (n=3). Pre-transplantation center-based cardiac rehabilitation was evaluated on Quality of life (SF-36) and physical activity (IPAQ) at 3 months post-transplantation. Pre-transplantation center-based cardiac rehabilitation improved physical and mental quality of life by a mean of 32% and 43%, respectively, and increased physical activity by a mean of 1275 MET-minutes at 3 months post-transplantation.
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