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. 2024 Jun 19:37:13191.
doi: 10.3389/ti.2024.13191. eCollection 2024.

Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT

Maria Simonenko  1 , Dominique Hansen  2   3 , Josef Niebauer  4 , Maurizio Volterrani  5 , Stamatis Adamopoulos  6 , Cristiano Amarelli  7 , Marco Ambrosetti  8 , Stefan D Anker  9 , Antonio Bayes-Genis  10 , Tuvia Ben Gal  11 , T Scott Bowen  12 , Francesco Cacciatore  13 , Giuseppe Caminiti  5 , Elena Cavarretta  14   15 , Ovidiu Chioncel  16   17 , Andrew J S Coats  18 , Alain Cohen-Solal  19 , Flavio D'Ascenzi  20 , Carmen de Pablo Zarzosa  21 , Andreas B Gevaert  22   23 , Finn Gustafsson  24 , Hareld Kemps  25   26 , Loreena Hill  27 , Tiny Jaarsma  28   29 , Ewa Jankowska  30 , Emer Joyce  31   32 , Nicolle Krankel  33 , Mitja Lainscak  34 , Lars H Lund  35 , Brenda Moura  36   37 , Kari Nytrøen  38 , Elena Osto  39   40 , Massimo Piepoli  41   42 , Luciano Potena  43 , Amina Rakisheva  44   45 , Giuseppe Rosano  46 , Gianluigi Savarese  47 , Petar M Seferovic  48 , David R Thompson  27 , Thomas Thum  49 , Emeline M Van Craenenbroeck  22   23
Affiliations

Prevention and Rehabilitation After Heart Transplantation: A Clinical Consensus Statement of the European Association of Preventive Cardiology, Heart Failure Association of the ESC, and the European Cardio Thoracic Transplant Association, a Section of ESOT

Maria Simonenko et al. Transpl Int. .

Abstract

Little is known either about either physical activity patterns, or other lifestyle-related prevention measures in heart transplantation (HTx) recipients. The history of HTx started more than 50 years ago but there are still no guidelines or position papers highlighting the features of prevention and rehabilitation after HTx. The aims of this scientific statement are (i) to explain the importance of prevention and rehabilitation after HTx, and (ii) to promote the factors (modifiable/non-modifiable) that should be addressed after HTx to improve patients' physical capacity, quality of life and survival. All HTx team members have their role to play in the care of these patients and multidisciplinary prevention and rehabilitation programmes designed for transplant recipients. HTx recipients are clearly not healthy disease-free subjects yet they also significantly differ from heart failure patients or those who are supported with mechanical circulatory support. Therefore, prevention and rehabilitation after HTx both need to be specifically tailored to this patient population and be multidisciplinary in nature. Prevention and rehabilitation programmes should be initiated early after HTx and continued during the entire post-transplant journey. This clinical consensus statement focuses on the importance and the characteristics of prevention and rehabilitation designed for HTx recipients.

Keywords: diabetes; dyslipidaemia; exercise training; heart failure; heart transplantation.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Benefit of exercise after heart transplantation. CAV, cardiac allograft vasculopathy.
See this image and copyright information in PMC

References

    1. Chambers DC, Perch M, Zuckermann A, Cherikh WS, Harhay MO, Hayes D, Jr, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-Eighth Adult Lung Transplantation Report – 2021; Focus on Recipient Characteristics. J Heart Lung Transpl (2021) 40:1060–72. 10.1016/j.healun.2021.07.021 - DOI - PMC - PubMed
    1. Ambrosetti M, Abreu A, Corrà U, Davos CH, Hansen D, Frederix I, et al. Secondary Prevention Through Comprehensive Cardiovascular Rehabilitation: From Knowledge to Implementation. 2020 Update. A Position Paper From the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. Eur J Prev Cardiol (2020) 14:460–95. 10.1177/2047487320913379 - DOI - PubMed
    1. Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S, et al. 2020 ESC Guidelines on Sports Cardiology and Exercise in Patients With Cardiovascular Disease. Eur Heart J (2021) 42:17–96. 10.1093/eurheartj/ehaa605 - DOI - PubMed
    1. Cogswell R, John R, Estep JD, Duval S, Tedford RJ, Pagani FD, et al. An Early Investigation of Outcomes With the New 2018 Donor Heart Allocation System in the United States. J Heart Lung Transpl (2020) 39:1–4. 10.1016/j.healun.2019.11.002 - DOI - PubMed
    1. Mullan CW, Sen S, Ahmad T. Left Ventricular Assist Devices Versus Heart Transplantation for End Stage Heart Failure Is a Misleading Equivalency. JACC Heart Fail (2021) 9:290–2. 10.1016/j.jchf.2021.02.004 - DOI - PubMed