In-hospital rehabilitation after heart transplant

Revista da Faculdade de Ciências Médicas de Sorocaba

Jamine Vasconcelos Martinis¹  Mayron Faria de Oliveira² 

[1] Departamento de Fisioterapia, Faculdade de Ciências Humanas e da Saúde, Pontifícia Universidade Católica de São Paulo (PUC-SP), São Paulo, SP, Brasil.;Unidade de Fisioterapia, Centro de Ciências da Saúde, Universidade Fortaleza (UNIFOR), Fortaleza, CE, Brasil.;

关键词: insuficiência cardíaca;    transplante de coração;    reabilitação;    exercício;    fisioterapia;   

DOI  :  10.23925/1984-4840.2017v19i2a2

来源: DOAJ

【 摘 要 】

Heart failure (HF) is characterized as a complex syndrome with dyspnea, peripheral myopathy and reduction in quality of life. Heart transplantation (HTx) is one of the latest therapies in HF. However, even after the HTx, peripheral muscle alterations can still contribute to the exercise intolerance. Cardiac rehabilitation (CR) is a complex intervention and enhances/ promotes a faster conditioning and return to daily activities. CR also improves endothelial function, hemodynamics, sympathetic nervous activity, oxygen consumption and tissue delivery/utilization. After HTx, CR should be performed as early as possible, promoting better recovery and early hospital discharge. Moreover, exercise prescription should take into account the fact that the heart rate in exercise response is different and should be based on Borgs scale. In-hospital cardiac rehabilitation can reduce and enhance physiological response and exercise intolerance in patients submitted to HTx.

【 授权许可】

Unknown