Faculty of Health, Universidad Santiago de Cali, Cl. 5 #No. 62-00, 760035 Cali, Colombia.
Physical Medicine and Rehabilitation E.S.E., Hospital Universitario Evaristo Garcia ESE, Cl. 5 #36-00, 760042 Cali, Colombia.
J Extra Corpor Technol. 2024 Sep;56(3):128-135. doi: 10.1051/ject/2024017. Epub 2024 Sep 20.
Ventricular assist devices represent a treatment option for patients with advanced heart failure, offering control over various haemodynamic variables. Similarly, the prescription of exercise within a cardiac rehabilitation programme for heart failure patients is recommended to reduce symptoms, and hospitalisations, improve cardiorespiratory fitness, and increase exercise tolerance. Therefore, exercise prescription can impact those with ventricular assist devices. Given the limited evidence on exercise-based cardiac rehabilitation programmes for this population, this review aims to describe the most commonly used strategies and their health benefits when physical exercise is included in a cardiac rehabilitation programme for patients with ventricular assist devices.
An exploratory review was conducted through searches in the databases: PubMed, SCOPUS, PeDro, and ScienceDirect. The search was limited to studies published between 2013 and 2023. Filters were applied independently by title, abstract, and full text. The included articles were analysed based on the description of the types of cardiac rehabilitation strategies used in patients with ventricular assist devices.
Seven articles were included. Each programme employed a cardiopulmonary exercise test before prescribing physical exercise. The most commonly used strategy was aerobic exercise, predominantly high-intensity interval training (HIIT) with intensities close to 90% of peak VO, followed by continuous moderate-intensity exercise. Limb strength exercises were included in three programmes.
The analysed literature suggests that cardiac rehabilitation in patients with ventricular assist devices is safe and can provide benefits in cardiorespiratory fitness and exercise tolerance. High-intensity interval training is identified as an appropriate strategy for achieving results, offering short-term improvements.
心室辅助装置是治疗晚期心力衰竭患者的一种选择，可控制各种血液动力学变量。同样，推荐心力衰竭患者在心脏康复计划中进行运动，以减轻症状、减少住院次数、改善心肺适应能力和提高运动耐量。因此，运动处方可能会对使用心室辅助装置的患者产生影响。鉴于针对该人群的基于运动的心脏康复计划的证据有限，本综述旨在描述最常用的策略，以及当将体力活动纳入心室辅助装置患者的心脏康复计划时，这些策略的健康益处。
通过在 PubMed、SCOPUS、PeDro 和 ScienceDirect 数据库中进行探索性检索，开展了此项综述。检索范围限于 2013 年至 2023 年期间发表的研究。标题、摘要和全文分别由独立的过滤器进行筛选。根据纳入的文章中描述的用于心室辅助装置患者的心脏康复策略类型对文章进行了分析。
共纳入了 7 篇文章。每个计划都在为患者开出体力活动处方之前进行心肺运动测试。最常使用的策略是有氧运动，主要是接近峰值 VO2 的 90%强度的高强度间歇训练（HIIT），随后是连续的中等强度运动。有 3 个计划包括肢体力量练习。
分析文献表明，心室辅助装置患者的心脏康复是安全的，可以改善心肺适应能力和运动耐量。高强度间歇训练被确定为一种实现这一目标的适当策略，可带来短期改善。
