Prevention and rehabilitation after heart transplantation: A clinical consensus statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a section of ESOT

被引:0
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作者
Simonenko, Maria [1 ]
Hansen, Dominique [2 ,3 ]
Niebauer, Josef [4 ]
Volterrani, Maurizio [5 ]
Adamopoulos, Stamatis [6 ]
Amarelli, Cristiano [7 ]
Ambrosetti, Marco [8 ]
Anker, Stefan D. [9 ]
Bayes-Genis, Antonio [10 ]
Gal, Tuvia Ben [11 ]
Bowen, T. Scott [12 ]
Cacciatore, Francesco [13 ]
Caminiti, Giuseppe [5 ]
Cavaretta, Elena [14 ,15 ]
Chioncel, Ovidiu [16 ,17 ]
Coats, Andrew J. S. [18 ]
Cohen-Solal, Alain [19 ]
D'Ascenzi, Flavio [20 ]
de Pablo Zarzosa, Carmen [21 ]
Gevaert, Andreas B. [22 ,23 ]
Gustafsson, Finn [24 ]
Kemps, Hareld [25 ,26 ]
Hill, Loreena [27 ]
Jaarsma, Tiny [28 ,29 ]
Jankowska, Ewa [30 ]
Joyce, Emer [31 ,32 ]
Krankel, Nicolle [33 ]
Lainscak, Mitja [34 ]
Lund, Lars H. [35 ]
Moura, Brenda [36 ,37 ]
Nytroen, Kari [38 ]
Osto, Elena [39 ,40 ]
Piepoli, Massimo [41 ,42 ]
Potena, Luciano [43 ]
Rakisheva, Amina [44 ,45 ]
Rosano, Giuseppe [46 ]
Savarese, Gianluigi [47 ]
Seferovic, Petar M. [48 ]
Thompson, David R. [27 ]
Thum, Thomas [49 ]
Van Craenenbroeck, Emeline M. [22 ,23 ]
机构
[1] VA Almazov Natl Med Res Ctr, Cardiopulm Exercise Test Res Dept, Heart Transplantat Outpatient Dept, Akkuratova St 2, St Petersburg 197341, Russia
[2] Hasselt Univ, REVAL & BIOMED Rehabil Res Ctr, Hasselt, Belgium
[3] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium
[4] Paracelsus Med Univ, Univ Inst Sports Med Prevent & Rehabil, Salzburg, Austria
[5] IRCCS San Raffaele Roma, Cardiopulm Dept, Rome, Italy
[6] Onassis Cardiac Surg Ctr, Heart Failure & Heart Transplantat Unit, Athens, Greece
[7] Monaldi Hosp, Azienda Colli, Dept Cardiac Surg & Transplants, I-80131 Naples, Italy
[8] ASST Crema St Marta Hosp, Cardiovasc Rehabil Unit, I-26027 Rivolta Dadda, CR, Italy
[9] German Ctr Cardiovasc Res DZHK, Berlin Inst Hlth Ctr Regenerat Therapies BCRT, Partner Site Berlin, Dept Cardiol CVK, Berlin, Germany
[10] Univ Hosp Germans Trias & Pujol Badalona, Badalona, Spain
[11] Tel Aviv Univ, Petah Tikva & Sackler Fac Med, Rabin Med Ctr, Unit Endourol, Tel Aviv, Israel
[12] Univ Leeds, Fac Biol Sci, Sch Biomed Sci, Leeds, England
[13] Univ Naples Federico II, Dept Translat Med Sciences, Naples, Italy
[14] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Rome, Italy
[15] Mediterranea Cardioctr, Naples, Italy
[16] Emergency Inst Cardiovasc Dis Prof CC Iliescu, Bucharest, Romania
[17] Univ Med & Pharm Carol Davila, Bucharest, Romania
[18] Heart Res Inst, Sydney, NSW, Australia
[19] Univ Paris, Hop Lariboisiere, AP HP, Inserm UMRS 942,Cardiol Dept, Paris, France
[20] Univ Siena, Dept Med Biotechnol, Div Cardiol, Siena, Italy
[21] Ramon & Cajal Univ Hosp, Dept Cardiol, Madrid, Spain
[22] Univ Antwerp, Res Grp Cardiovasc Dis, GENCOR, Antwerp, Belgium
[23] Antwerp Univ Hosp, Dept Cardiol, Edegem, Belgium
[24] Univ Copenhagen, Dept Cardiol, Rigshosp, Copenhagen, Denmark
[25] Maxima Med Ctr, Dept Cardiol, Eindhoven, Netherlands
[26] Eindhoven Univ Technol, Dept Ind Design, Eindhoven, Netherlands
[27] Queens Univ Belfast, Sch Nursing & Midwifery, Belfast, North Ireland
[28] Linkoping Univ, Dept Hlth Med & Caring Sci, Linkoping, Sweden
[29] Univ Med Ctr Utrecht, Julius Ctr, Utrecht, Netherlands
[30] Wroclaw Med Univ, Wroclaw, Poland
[31] Mater Univ Hosp, Dept Cardiol, Dublin, Ireland
[32] Univ Coll Dublin, Sch Med, Dublin, Ireland
[33] Univ Med Berlin Campus Benjamin Franklin, Klin Kardiol Charite, Berlin, Germany
[34] Gen Hosp Murska Sobota, Murska Sobota, Slovenia
[35] Karolinska Univ Hosp, Karolinska Inst Med, Heart & Vasc Theme, Stockholm, Sweden
[36] Armed Forces Hosp, Porto, Portugal
[37] Univ Porto, Ctr Hlth Technol & Serv Res, Fac Med, Porto, Portugal
[38] Oslo Univ Hosp, Dept Cardiol, Rikshosp, Oslo, Norway
[39] Med Univ Graz, Otto Loewi Res Ctr Vasc Biol Immunol & Inflammat, Div Physiol, A-8010 Graz, Austria
[40] Univ Zurich, Vetsuisse Fac, Zurich, Switzerland
[41] Univ Milan, Dipartimento Sci Biomed Salute, Milan, Italy
[42] IRCCS Policlin San Donato, Cardiol Univ, Milan, Italy
[43] Univ Hosp Bologna, Bologna, Italy
[44] Sci Inst Cardiol & Internal Dis, Dept Cardiol, Alma Ata, Kazakhstan
[45] Kapshagai City Hosp, Dept Cardiol, Alma Ata, Kazakhstan
[46] St Georges Hosp NHS Trust Univ London, London, England
[47] Karolinska Inst, Dept Med, Div Cardiol, Stockholm, Sweden
[48] Univ Med Ctr Belgrade, Heart Failure Dept, Belgrade, Serbia
[49] Hannover Med Sch MHH, Inst Mol & Translat Therapeut Strategies IMTTS, Hannover, Germany
关键词
Diabetes; Dyslipidaemia; Exercise training; Heart failure; Heart transplantation; Hypertension; Physical activity; Prevention; Primary prevention; Rehabilitation; Risk factors; Secondary prevention; QUALITY-OF-LIFE; POSTTRANSPLANTATION DIABETES-MELLITUS; VENTRICULAR ASSIST DEVICES; PEAK OXYGEN-UPTAKE; INTERNATIONAL-SOCIETY; LUNG-TRANSPLANTATION; ADULT HEART; ALLOGRAFT VASCULOPATHY; ENDOTHELIAL DYSFUNCTION; VENOUS THROMBOEMBOLISM;
D O I
10.1002/ejhf.3185
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 statement focuses on the importance and the characteristics of prevention and rehabilitation designed for HTx recipients.
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