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Exercise Therapy for an Older Patient With Left Ventricular Assist Device

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주제분류재활의학

초록

A left ventricular assist device (LVAD) is a mechanical circulation support implanted for patients with end-stage heart failure. It may be used either as a bridge to cardiac transplantation or as a destination therapy. The health of a 75-year-old man with a medical history of systolic heart failure worsened. Therefore, he was recommended to have implanted a LVAD (Thoratec Corp.) as a destination therapy. After the surgery, he was enrolled in patient cardiac rehabilitation for the improvement of dyspnea and exercise capacity. In results, there is an improvement on his exercise capacity and quality of life. For the first time in Korea, we reported a benefit of exercise therapy after being implanted with a LVAD.

Abstract

A left ventricular assist device (LVAD) is a mechanical circulation support implanted for patients with end-stage heart failure. It may be used either as a bridge to cardiac transplantation or as a destination therapy. The health of a 75-year-old man with a medical history of systolic heart failure worsened. Therefore, he was recommended to have implanted a LVAD (Thoratec Corp.) as a destination therapy. After the surgery, he was enrolled in patient cardiac rehabilitation for the improvement of dyspnea and exercise capacity. In results, there is an improvement on his exercise capacity and quality of life. For the first time in Korea, we reported a benefit of exercise therapy after being implanted with a LVAD.

참고문헌 (9)

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  3. Miller LW, "Use of a continuous-flow device in patients awaiting heart transplantation", N Engl J Med, 357, pp.885~896 (2007)
  4. Corra U, "Cardiovascular prevention and rehabilitation for patients with ventricular assist device from exercise therapy to long-term therapy. Part I: Exercise therapy", Monaldi Arch Chest Dis, 76, pp.27~32 (2011)
  5. Reedy JE, "The importance of patient mobility with ventricular assist device support", ASAIO J, 38, pp.M151~M153 (1992)
  6. Hasin T, "Usefulness of the six-minute walk test after continuous axial flow left ventricular device implantation to predict survival", Am J Cardiol, 110, pp.1322~1328 (2012)
  7. Grady KL, "Change in quality of life from before to after discharge following left ventricular assist device implantation", J Heart Lung Transplant, 22, pp.322~333 (2003)
  8. Ziv O, "Effects of left ventricular assist device therapy on ventricular arrhythmias", J Am Coll Cardiol, 45, pp.1428~1434 (2005)
  9. Kirklin JK, "Third INTERMACS Annual Report: the evolution of destination therapy in the United States", J Heart Lung Transplant, 30, pp.115~123 (2011)

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