Physical capacity in LVAD patients: hemodynamic principles, diagnostic tools and training control

Reiss, Nils; Schmidt, Thomas; Workowski, Anke; Willemsen, Detlev; Schmitto, Jan D.; Haverich, Axel; Bjarnason-Wehrens, Birna

doi:10.5301/ijao.5000529

Physical capacity in LVAD patients: hemodynamic principles, diagnostic tools and training control

Abstract

Over time left ventricular assist devices (LVAD) have become an alternative to heart transplantation because of enormous technical development and miniaturization. Most patients present a significant improvement in clinical conditions and exercise capacity. Nevertheless, exercise tolerance remains markedly limited even after LVAD implantation compared to a control group. The complex physiological and hemodynamic changes in LVAD patients, both at rest and during exercise, are not yet understood, or at least not completely.

It is the aim of the present paper to describe the current state of scientific knowledge. Furthermore, the spectrum of diagnostic tools, including the noninvasive inert gas rebreathing method for measurement of cardiac output and associate parameters, are discussed. Options for training control in this special patient group are presented.

Int J Artif Organs 2016; 39(9): 451 - 459

Article Type: REVIEW

DOI:10.5301/ijao.5000529

Authors

Nils Reiss, Thomas Schmidt, Anke Workowski, Detlev Willemsen, Jan D. Schmitto, Axel Haverich, Birna Bjarnason-Wehrens

Article History

• Accepted on 24/10/2016
• Available online on 09/11/2016
• Published in print on 11/11/2016

Disclosures

Financial support: No grants or funding have been received for this study.

Conflict of interest: None of the authors has financial interest related to this study to disclose.

This article is available as full text PDF.

If you are a Subscriber, please log in now.
Article price: Eur 36,00
You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
Article added to cart
If you are not a Subscriber you may:
Subscribe to this journal
Unlimited access to all our archives, 24 hour a day, every day of the week.

Authors

Reiss, Nils [PubMed] [Google Scholar] 1, * Corresponding Author (nreiss@schuechtermann-klinik.de)
Schmidt, Thomas [PubMed] [Google Scholar] 1
Workowski, Anke [PubMed] [Google Scholar] 1, 2
Willemsen, Detlev [PubMed] [Google Scholar] 1
Schmitto, Jan D. [PubMed] [Google Scholar] 3
Haverich, Axel [PubMed] [Google Scholar] 3
Bjarnason-Wehrens, Birna [PubMed] [Google Scholar] 2

Affiliations

1 Cardiac Rehabilitation, Schüchtermann-Klinik Bad Rothenfelde, Bad Rothenfelde - Germany
2 Institute for Cardiology and Sports Medicine, German Sport University Cologne, Cologne - Germany
3 Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover - Germany

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.