Key result
Quadriceps electrical muscle stimulation safely maintains muscle mass and strength after heart transplant.
Why the study?
Evidence on the use of electrical muscle stimulation for rehabilitation after heart transplantation is still limited.
Does electrical muscle stimulation maintain muscle mass and strength in a heart transplant recipient with a complicated postoperative period?
Case Report (n=1)
No
Does electrical muscle stimulation maintain muscle mass and strength in a heart transplant recipient with a complicated postoperative period?
Electrical muscle stimulation appears safe and may help maintain muscle mass and strength during early rehabilitation in heart transplant recipients with complicated postoperative courses.
Answers are grounded in this paper and cite their sources.
EMS feasible in first post-transplant case; leaves open efficacy, safety, and role in rehabilitation.
The prognosis of a patient suffering from severe chronic heart failure is determined by the impairment of cardiac and skeletal muscles. More evidence has recently emerged on the use of electrical muscle stimulation (EMS) as a method of rehabilitation in patients admitted to the intensive care units. Nevertheless, evidences on the use of this type of rehabilitation in patients after heart transplantation are still limited. This article presents the first experience of using EMS in the patient who underwent heart transplantation. Sessions of electric muscle stimulation of the quadriceps allowed maintaining muscle mass according to the ultrasound findings, as well as muscle strength and endurance. The EMC was safe, had no proarrhythmogenic effect and did not affect the pacing of the temporary pacemaker. Further data accumulation, systematization and analysis on the use of EMC in this group of patients is required.
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Bezdenezhnykh et al. (2019) conducted a case report in Heart transplant recipient with complicated postoperative period (n=1). Electrical muscle stimulation (EMS) was evaluated on Muscle mass, strength, endurance, and safety. Electrical muscle stimulation of the quadriceps in a heart transplant recipient safely maintained muscle mass, strength, and endurance without proarrhythmogenic effects.
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