Cardiovascular prevention and rehabilitation for patients with ventricular assist device From exercise therapy to long-term therapy Part II: Long-term therapy

https://doi.org/10.4081/monaldi.2011.185

Authors

  • Massimo Pistono Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Ugo Corrà | ugo.corra@fsm.it Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Marco Gnemmi Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Alessandro Imparato Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Roberto Caruso Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Gianluigi Balestroni Physchology Unit, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.
  • Franco Tarro Genta Division of Cardiology, Presidio Major, Salvatore Maugeri Foundation, IRCCS, Torino, Italy.
  • Elisabetta Angelino Physchology Unit, Presidio Major, Salvatore Maugeri Foundation, IRCCS, Torino, Italy.
  • Pantaleo Giannuzzi Division of Cardiology, Salvatore Maugeri Foundation, IRCCS, Veruno (NO), Italy.

Abstract

Over the years left ventricular assist devices (VADs) have become more durable and reliable, smaller, simpler, easier to implant and more comfortable. The extensive experience now acquired shows successful hospital discharge with VAD use. We are entering an era in which long-term mechanical circulatory support will play an increasing role in the approach to end-stage heart failure (HF); at the same time, the extension of VADs into destination therapy has revealed the limitations of our understanding of these populations. This second paper on cardiovascular prevention and rehabilitation for patients with left VADs will deal with the management of patients outside the highly specialized HF centers and surgical setting, with particular focus on postoperative patient management. Outpatient management of VAD patients is time-intensive, and a multidisciplinary approach is ideal in long-term care. Although the new devices have definite advantages over the older pumps, some challenges still remain, i.e. infection, stroke, device thrombosis, gastrointestinal bleeding, recurrent HF symptomatology with or without multisystem organ failure, and occurrence of ventricular arrhythmias.

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Published
2015-12-09
Info
Issue
Section
Reviews
Keywords:
rehabilitation, ventricular assistance device
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How to Cite
Pistono, Massimo, Ugo Corrà, Marco Gnemmi, Alessandro Imparato, Roberto Caruso, Gianluigi Balestroni, Franco Tarro Genta, Elisabetta Angelino, and Pantaleo Giannuzzi. 2015. “Cardiovascular Prevention and Rehabilitation for Patients With Ventricular Assist Device From Exercise Therapy to Long-Term Therapy Part II: Long-Term Therapy”. Monaldi Archives for Chest Disease 76 (3). https://doi.org/10.4081/monaldi.2011.185.

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