Tag: niewydolność serca

Early physical rehabilitation in left ventricular assist device recipients

Katarzyna Gubała, Mariusz Stachowiak, Joanna Foik-Potęga, Karina Drżał, Agnieszka Biełka, Miłosz Cimcioch, Agnieszka Gaponik, Piotr Przybyłowski, Michał O. Zembala


Katarzyna Gubała, Mariusz Stachowiak, Joanna Foik-Potęga, Karina Drżał, Agnieszka Biełka, Miłosz Cimcioch, Agnieszka Gaponik, Piotr Przybyłowski, Michał O. Zembala – Early physical rehabilitation in left ventricular assist device recipients. Fizjoterapia Polska 2022; 22(3); 122-129

Abstract
Background. Left ventricular assist devices represent a significant advance in therapy of patients with end-stage heart failure. Early rehabilitation of patients implanted with left ventricular assist device is crucial and should be implemented as soon as possible. The aim of this study was to evaluate outcomes and establish algorithm for early cardiac rehabilitation in patients with end-stage heart failure implanted with continuous-flow left ventricular assist devices (CF-LVAD).
Methods. The study was designed as prospective, single center, observational study and included 68 patients who underwent early stage physiotherapy after CF-LVAD implantation in our institution in years 2017-2020. Therapeutic sessions took place in Intensive Care Unit and in Cardiac Surgery Unit. An algorithm of physiotherapeutic sessions included early mobilizations and transfers , breathing and circulatory exercises and finally training on a bicycle ergometer.
Results. The mean total hospitalization time of the studied group was 34.5 days. A significant statistical correlation between age and the result obtained in bicycle training was noted (p = 0.0007) as well as for the relationship between age and gaining independence (p = 0.03) and between time of first upstanding and total hospital stay (p = 0.001). We found no statistically significant correlations between BMI and the result obtained in the cycling training (p = 0.64).
Conclusions. In CF-LVAD recipients starting physical therapy as soon as possible is safe, effective and contributes to significant shortening of total hospital stay. Younger patients achieve better results in bicycle training and 6 minutes walking test.

Key words:
cardiac rehabilitation, continuous – flow left ventricular assist device, heart failure, mechanical circulatory support

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The impact of cardiac rehabilitation on haemodynamic parameters, respiratory function and cardiovascular disease risk factors in heart failure patients

Dominika Zielińska, Jerzy Bellwon, Andrzej Rynkiewicz, Małgorzata Kusiak-Kaczmarek, Stanisław Bakuła

Dominika Zielińska, Jerzy Bellwon, Andrzej Rynkiewicz, Małgorzata Kusiak-Kaczmarek, Stanisław Bakuła – The impact of cardiac rehabilitation on haemodynamic parameters, respiratory function and cardiovascular disease risk factors in heart failure patients. Fizjoterapia Polska 2008; 8(2); 139-152

Abstract
Background. Recent scientific data are revealing an epidemic of heart failure. The aim of the study was to evaluate the effect of exercise on left ventricular function and spirometry results and assess the usefulness of cardiac rehabilitation for modification of cardiovascular risk factors. Material and methods. 61 patients with NTHA class II-III heart failure (54 men, 7 women) aged 60±10 years, LVEF≤ 40%; 51 due to coronary artery disease and 10 due to non-ischaemic dilatedcardiomyopathy. 43 patients (REHAB group) underwent 3 week ambulatory exercise program. 18 subjects refused to participate (NREHAB group) and were instructed about the influence of exercise and lifestyle modification on prognosis in heart failure. REHAB patients continued the exercise program for 9 weeks at home. Spirometry, echocardiography and lipid profile determination were performed on entry and on completion of the program. Results. Testing systolic blood pressure in REHAB decreased from 117,2±14,2 mmHg on entry to 106,4±14,8 mmHg at the end of rehabilitation (p<0,05). LVEF increased significantly in the REHAB group from 32,7±8,3% do 35±8,4%. The lipid profile improved, with TC decreasing from 218,8±39,7 do 189,4 ±18,4 mmol/l, TG decreasing from 150,2 ± 76,8mmol/l to 117,4 ± 52,8mmol/l). VC ex and in increased significantly. In the NREHAB group, these parameters did not change significantly. Conclusions. Cardiac rehabilitation appears to improve left ventricular systolic function as assessed with the ejection fraction, and some parameters of pulmonary function. It faciliates the correction of some cardiovascular risk factors in patients witch chronic heart failure.
Key words:
heart failure, physical exercise, spirometry
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hysiotherapeutic treatment in a patient after the first implantation of an artificial heart in Poland – SynCardia Total Artificial Heart (TAH)

Katarzyna Gubała, Agnieszka Gaponik, Mariusz Stachowiak, Joanna Foik-Potęga, Izabela Copik, Jacek Waszak, Małgorzata Jasińska, Remigiusz Antończyk, Michał Zembala

K. Gubała, A. Gaponik, M. Stachowiak, J. Foik-Potęga, I. Copik, J. Waszak, M. Jasińska, R. Antończyk, M. Zembala – Physiotherapeutic treatment in a patient after the first implantation of an artificial heart in Poland – SynCardia Total Artificial Heart (TAH). Fizjoterapia Polska 2020; 20(3); 54-66

Abstract
Introduction. The gold standard in the treatment of extreme heart failure is heart transplantation. However, due to the insufficient number of donors, access to this method is limited. Therefore, the implantation of mechanical circulatory support devices is becoming more and more common. One of them is a completely artificial heart – SynCardia Total Artificial Heart (TAH), dedicated to patients with left and right ventricular failure. Due to the invasiveness of the TAH implantation procedure, it is necessary to immediately implement rehabilitation in order to mobilize the patient as soon as possible so that the patient gains independence.
Objective. To determine the benefits and safety of physiotherapeutic treatment carried out in a patient after implantation of the first completely artificial heart in Poland.
Basic assumptions. Physiotherapeutic treatment was carried out in accordance with the standards of cardiac rehabilitation, but with particular attention to the individualisation of the entire process based on the patient’s current clinical condition.
Conclusions. The performed physiotherapeutic treatment was a beneficial and necessary element of the coordinated treatment of the patient after TAH implantation, allowing for the reduction of postoperative complications and for the patient to regain independence.
Key words:
heart failure, mechanical circulatory support, artificial heart, cardiac rehabilitation

kardiologiczna

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