Faculty Collaboration Database

The Rehabilitation of Patients With Advanced Heart Failure After Left Ventricular Assist Device Placement: A Narrative Review. PM R 2019 Jan;11(1):64-75

Date

06/22/2018

Pubmed ID

29929019

DOI

10.1016/j.pmrj.2018.05.027

Scopus ID

2-s2.0-85060925687 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

Because more patients with advanced heart failure are receiving a left ventricular assist device (LVAD) as destination therapy or a bridge to transplantation, there is increasing attention on functional outcomes and quality of life after LVAD implantation. Rehabilitation providers in the acute inpatient rehabilitation setting increasingly will treat patients with an LVAD and should understand the exercise physiology, medical management, rehabilitation considerations, and outcomes after rehabilitation for patients with an LVAD. The purpose of this article is to provide the physiatrist with a comprehensive understanding of the rehabilitation of patients with advanced heart failure and LVAD implantation. Changes in relevant organ system physiology and exercise physiology after LVAD are summarized. Safety of rehabilitation and program considerations for acute inpatient rehabilitation are reviewed. Recommendations for medical management and prevention of secondary complications seen in patients with an LVAD are outlined. A discussion of outcomes after acute inpatient rehabilitation, the dual diagnosis of stroke and LVAD placement, and long-term cognitive, functional, and quality-of-life outcomes after LVAD placement is presented.

Author List

Eickmeyer SM, Barker KD, Sayyad A, Rydberg L

Author

Anjum Sayyad MD Associate Professor in the Physical Medicine and Rehabilitation department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Cardiac Rehabilitation
Exercise Tolerance
Female
Heart Failure
Heart-Assist Devices
Humans
Inpatients
Male
Middle Aged
Postoperative Care
Quality of Life
Risk Assessment