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Prehabilitation Using a Cardiac Rehabilitation Program for a Patient with a Total Artificial Heart Prior to Heart Transplantation.

Michael Racodon,Eric Hermand, Jean-Michel Lemahieu, Pauline Blairon, Pierre Vanhove, Amandine Secq

Journal of cardiopulmonary rehabilitation and prevention(2024)

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摘要
The total artificial heart (TAH) has become a viable therapeutic option for numerous patients. Cardiac rehabilitation is a viable and feasible therapeutic possibility, as a prehabilitation program, for patients with a TAH prior to heart transplantation. Introduction:The last few decades have been marked by significant advances in mechanical cardiocirculatory support. A total artificial heart (TAH) became a viable therapeutic option for numerous patients as a bridge to heart transplantation, particularly for those in end-stage heart failure. This technology aims to address the various subsequent shortfalls of organs. This report reviews the impact of a prehabilitation on a patient with an Aeson TAH (Carmat).Discussion:We assessed improvements in functional capacity and quality of life (QoL) in a newly implanted patient following standard cardiac rehabilitation as a prehabilitation program, using 6-min walk test and the Short Form-12 (SF-12) health survey, respectively. Similar functional improvements were observed over a short period of 2 wk compared with a longer protocol for patients with a heart transplant, and superior effects on QoL. The patient was successfully transplanted 5 mo after the TAH implantation.Summary:Prehabilitation of a patient with a TAH increased both their physical capacity and QoL.
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关键词
cardiac rehabilitation,physical abilities,prehabilitation,quality of life,total artificial heart
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