Division of Sports Medicine, Department of Orthopedic Surgery, Samsung Medical Center, 06351 Seoul, Republic of Korea.
Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, 06351 Seoul, Republic of Korea.
Rev Cardiovasc Med. 2022 Feb 17;23(2):68. doi: 10.31083/j.rcm2302068.
Heart transplantation (HTx) is the final treatment option for patients with chronic heart failure. Several studies have reported that exercise therapy, which is a component of cardiac rehabilitation, improves exercise capacity and the quality of life (QOL) in patients with heart failure.
Three patients, referred to an inpatient cardiac rehabilitation before HTx, participated in center-based cardiac rehabilitation (CBCR) during the hospitalization period. The CBCR, including aerobic exercises and resistance training, was conducted 3-4 days/week under cardiac rehabilitation team. Clinical outcomes included QOL using short form (SF)-36 questionnaire and the level of physical activity using international physical activity questionnaire (IPAQ) were evaluated before and after following the CBCR.
These patients showed an improved QOL in physical components with mean 32% and in mental components with mean 43%. The adherence to exercise confirmed by level of physical activity also increased as much as mean 1275 MET-minutes at 3 months after transplantation.
The findings in case report show the safety and effectiveness of CBCR in patients waiting for HTx during hopitalization. This is the first case report showing the effect of CBCR in admission period in Korean patients undergoing HTx.
心脏移植（HTx）是慢性心力衰竭患者的最终治疗选择。多项研究报告称，运动疗法作为心脏康复的组成部分，可以提高心力衰竭患者的运动能力和生活质量（QOL）。
三名患者在 HTx 前被转诊至住院心脏康复中心，在住院期间参加了基于中心的心脏康复（CBCR）。CBCR 包括有氧运动和阻力训练，由心脏康复团队每周进行 3-4 天。临床结果包括使用短格式（SF）-36 问卷评估 QOL 和使用国际体力活动问卷（IPAQ）评估体力活动水平，在进行 CBCR 前后进行评估。
这些患者的身体成分 QOL 平均提高了 32%，心理成分 QOL 平均提高了 43%。通过体力活动水平确认的运动依从性也增加了，在移植后 3 个月时平均增加了 1275 MET-minutes。
病例报告中的发现表明，在住院期间等待 HTx 的患者进行 CBCR 的安全性和有效性。这是首例报告显示韩国 HTx 患者在入院期间进行 CBCR 的效果。
