Research progress of cardiac rehabilitation training for patients with left ventricular assist device implantation / 中华胸心血管外科杂志

ABSTRACT

Left ventricular assist device(LVAD) can improve the survival rate and quality of life of patients with end-stage heart failure, but the quality of life of patients after LVAD implantation is still lower than that of heart transplantation. The reasons for the influence of LVAD implantation on patients' quality of life include discomfort symptoms, surgical complications and high re-hospitalization rate, limitation of physical activity level and negative psychological emotions after device implantation. Cardiac rehabilitation training can improve the quality of life of LVAD patients by improving their psychological state, enhancing their exercise ability and reducing the risk of re-hospitalization. The exercise prescription of LVAD implant patients can include aerobic endurance training, walking training, light to moderate resistance training, gymnastics training, etc. The exercise training intensity should be controlled at the first ventilation threshold(anaerobic threshold), 50% peak oxygen consumption or 12-14 points of Borg scale. In addition, the safety of cardiac rehabilitation training for LVAD patients has been fully demonstrated.